An Alternative Technique for Repair of Patellar Ligament Ruptures with Associated Tibial Tuberosity Avulsion Fracture

Abstract

We describe a case report of a patient who suffered dual injury to the patellar tendon insertion treated with an alternative technique for the repair of patellar ligament rupture with concomitant tibial tuberosity avulsion. These injuries are rare and there is no uniform technique, described to deal with this complex injury. In this report we describe an alternative technique which provides with secure fixation of the tendon allowing for early rehabilitation. It is simple and reproducible yet provides a robust fixation of the tendon injury allowing to restore the normal anatomical parameters. This technique avoids the need for neutralization box stitch to be passed through the quadriceps tendon, avoiding violation of intact tissue and large surgical wounds. To our knowledge, this method has not been previously described.

Distal Patellar Tendon SpeedBridge Repair

“…Avulsion fractures of the tibial tubercle with associated distal patellar tendon ruptures are rare injuries in the athletic adolescent population. 10 Mayba 11 first described this injury pattern in 1982 in a 15-year-old long jumper. The majority of these injuries are due to jumping activities or direct trauma to the knee.…”