Bilateral Chronic Quadriceps Tendon Ruptures Treated with Hamstring Autograft Reconstruction

Abstract

Case: A 30-year-old semiprofessional football player presented with chronic bilateral quadriceps tendon ruptures. Both quadriceps tendon ruptures were unsuitable for isolated primary repair because of tendon retraction and immobility. A novel reconstruction technique using semitendinosus and gracilis tendon autografts was performed to restore both lower extremities' disrupted extensor mechanisms. At the final follow-up, the patient regained excellent motion of both knees and returned to high-intensity activity. Conclusion: Chronic quadriceps tendon ruptures present challenges related to tendon quality and mobilization.Reconstruction with hamstring autograft using a Pulvertaft weave through the retracted quadriceps tendon in a highdemand athletic patient represents a novel approach for treating this injury.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C27).