Quadriceps and Patellar Tendon Ruptures

Abstract

Quadriceps and patellar tendon ruptures in soccer players are severe injuries that require a long time for rehabilitation. In this article, the anatomic, biomechanical, and etiopathogenic aspects are revised. In addition, surgical techniques are described that include all reconstructive steps with patellar and quadriceps tendon sutures. The technical supplements with hamstrings or quadriceps are also explained.

Simultaneous bilateral rupture of the patellar ligament in chronic renal patient. A case report

“…In the present case, we reinforced the suture of the patellar ligament using the semitendinosus tendon. According to Seijas et al, 22 in cases with poor viability of the patellar ligament, such as those resulting from chronic injury or corticosteroid use, it may be necessary to use grafts. The semitendinosus is generally used because it is easily accessible and easy to manage, as well as producing low morbidity in the donor zone.…”

Low Tensile Strength Suture With Transosseous Tunnels and Suture Anchors 5 mm in Diameter or Greater Are Associated With Higher Failure Rates in Primary Patellar Tendon Repair

“…Historically, repair of patellar tendon injuries was treated with transosseous drill tunnels and reapproximation of the tendon to patellar bone with Mason-Allen, Bunnel, or Krackow sutures. 7 , 8 , 9 The use of suture anchors for extensor mechanism repairs (albeit quadriceps tendon repairs) was proposed by Richards and Barber 10 in 2002 as an alternative to the transosseous technique, in an effort to initiate early mobilization and increase the strength of repair. In 2007, Capiola and Re 11 published a 3-anchor technique for patellar tendon repair with high tensile strength suture that has become a technique of choice for many surgeons.…”