Allograft reconstruction of the patellar ligament. A case report.

Reconstruction of a chronic patellar tendon rupture with semitendinosus autograft

“…Burks and Edelson [5] repaired a patellar tendon rupture that occurred 6 weeks previously. One year postoperatively, the patient demonstrated dramatic results, with 0-130°flexion, no extensor lag, and full strength with no pain.…”

“…Late reconstruction of the patellar tendon ruptures usually yields less favorable results than does immediate reconstruction [5]. This disparity has been attributed to proximal patellar migration, poor tissue quality, and quadriceps atrophy.…”

A new surgical procedure for the treatment of patella infera

“…In this subject, the tibial apophysis was fixed with staple and screws tomy. Burks and Edelson [1] and Emerson et al [4] reported a similar technique to reconstruct the entire patellar ligament with an allograft. In this same period, I began to use the technique presented in this paper for the treatment of PI.…”

Using Ipsilateral Semitendonosus Tendon in Reconstruction of Infected Reruptured Patellar Tendon in Case of Avulsed Distal Patellar Pole Treated by Distal Patellar Pole Excision

“…The longer the delay between injury and repair, the greater the likelihood of quadriceps shortening and retraction and proximal patellar migration, fibrous adhesions may develop between the patella and the underlying femur. The ruptured tendon ends shrivel and become encased in scar tissue, reconstruction with extensor mechanism allografts consisting of an Achilles tendon or an intact patellar tendon has also been used as a salvage procedure [11].…”

“…Many techniques have been reported to relocate the patella to its anatomic position and to repair the patellar tendon; however, there is no widely accepted method [11].…”