Patellar Tendon Rupture After Anterior Cruciate Ligament Surgery

Shelbourne, K. Donald; Lawrance, Scott E.; Kerr, Brian J.

doi:10.1053/j.otsm.2006.02.006

Cited by 5 publications

(4 citation statements)

References 14 publications

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“…Bone-patellar tendon-bone remains the most common graft material for anterior cruciate ligament reconstruction. A rupture of the patellar tendon after harvesting a BTB autograft occurs very rarely [42,43]. Patellar tendon rupture after ACL reconstruction may occur during the first month after the operation, usually as a result of trauma [43], or it may occur much later, 7 months to 10 years after the procedure, as a result of a very strenuous physical activity (strong kick or high jump).…”

Section: Discussionmentioning

confidence: 99%

Patellar tendon rupture - treatment results

et al. 2015

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Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective tenyear study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p=0.0197 p<0.05) was found in the average values of the Lysholm score between the group of patients with risk factors (71.78) and the subjects without risk factors (92.18). A statistically significant difference (p=0.008 p<0.01) was found in the Lysholm score between the patients with timely diagnosis (91.62) and cases of chronic tendon tear (67). Conclusion. Timely diagnosis and early surgical reparation are the basic imperatives in the treatment of this injury. Comorbidity and risk factors are related to a poorer postoperative Lysholm score. The method of choice is early surgical treatment.

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Section: Discussionmentioning

confidence: 99%

Patellar tendon rupture - treatment results

et al. 2015

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“…Complications after ACL reconstruction with central third BTB autograft typically involve the distal portion of the knee extensor mechanism. These complications include persistent anterior knee pain in up to 46% of cases 9,27 , patellar fracture in 0.23% to 1.3% of cases 10,28,29 , and patellar rupture in up to 0.22% of cases 11 . However, this technique of ACL reconstruction does not physically disrupt the proximal portion of the patella or quadriceps tendon nor blood supply thereto.…”

Section: Discussionmentioning

confidence: 99%

“…In the pediatric and adolescent population, complications can also include various growth disturbances including angular deformities and leg-length discrepancies 7,8 . Complications involving the extensor mechanism are uncommon after ACL reconstruction with autograft bone-tendon-bone (BTB) and generally involve fracture of the patella or rupture of the patellar tendon [9][10][11] .…”

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confidence: 99%

Adolescent Quadriceps Tendon Rupture, an Early Complication After ACL Reconstruction

Gawel

Kemler

Rao

et al. 2022

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Case: A healthy adolescent male patient initially presented with complete rupture of the anterior cruciate ligament (ACL) after a plant-twist injury during a high school football game. Four weeks after ACL reconstruction with autograft bone-patella tendonbone, the patient slipped and fell, sustaining hyperflexion of the knee, resulting in rupture of the ipsilateral quadriceps tendon. Conclusion:Although this rare complication has previously been reported in the adult population, to the best of our knowledge, this is the first known report of an adolescent patient sustaining a quadriceps tendon rupture after ACL reconstruction.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B799).

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“…Etiology of the patellar tendon rupture after ACL reconstruction is multifactorial. Because all of these ruptures occur in a very similar pattern, the reason may be mecha-nical 49 . Lairungruang at al.…”

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confidence: 99%

Disruption of the knee extensor apparatus complicating anterior cruciate ligament reconstruction

et al. 2013

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Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. We made 2215 reconstructions of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and 10 patients had fracture of the patella (0.45%), and fore patients had rupture of the patellar tendon (0.18%). The fracture of the patella in two patients was treated nonoperatively and 8 patients was treated with operative reduction and osteosynthesis. Reconstruction of the patellar ligament in four patients with a rupture of patellar tendon (0.18%) was performed by a technique previously published with BTB allograft taken from the local bone bank. The mean Lysholm score was 90 (85-100), and all of them have continued to engage in sporting activities. In all patients the Lachman test was with the firm stop compared to the other leg. X-ray changes in the patella were found in 2 patients, who had multifragmentary fractures of the patella. Disruption of the knee extensor apparatus, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, can be prevented by avoiding to take too much bone graft, by using the most precise tools for cutting, while rehabilitation must be carefully planned. The optimal treatment disruption of the knee extensor apparatus after the reconstruction of the anterior cruciate ligament is a operative reconstruction, which allows continuation of the rehabilitation program.

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Patellar Tendon Rupture After Anterior Cruciate Ligament Surgery

Cited by 5 publications

References 14 publications

Patellar tendon rupture - treatment results

Patellar tendon rupture - treatment results

Adolescent Quadriceps Tendon Rupture, an Early Complication After ACL Reconstruction

Disruption of the knee extensor apparatus complicating anterior cruciate ligament reconstruction

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