Quadriceps tendon injuries

Ristić, Vladimir; Maljanović, Mirsad; Popov, I V; Harhaji, Vladimir; Milankov, Vukadin

doi:10.2298/mpns1304121r

Cited by 7 publications

(19 citation statements)

References 14 publications

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“…In contrast to quadriceps tendon injuries, which usually occur in population older than 40 years [2,3,14], patellar tendon is mainly injured in males under the age of 40 [14][15][16][17]. This was confirmed in our sample as well.…”

Section: Discussionsupporting

confidence: 82%

“…It is basically a ligament, connecting the sesamoid bone (patella) with another bone (tibial tubercle), but also a tendon, because the strong quadriceps muscle ends with it in the tibia. A patellar tendon rupture is the third most common injury of the extensor mechanism, right after patella fracture and quadriceps tendon rupture [1][2][3][4]. A current study [1] that followed 230 middle aged people (on average 44 years old), without symptoms associated with the knee joints, concluded that as much as 97% of them had asymptomatic magnetic resonance imaging (MRI) verified lesions of the following structures: 30% of menisci, 57% of cartilage, 21% of tendons and 3% of ligaments [1].…”

Section: Introductionmentioning

confidence: 99%

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Results of surgical treatment of the patellar tendon rupture

Ristić¹,

Milankov

Vranješ

et al. 2021

Med pregl

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Introduction. The aim of the study was to report surgical treatment results of complete patellar tendon ruptures reconstructed by different surgical procedures. Material and Methods. This study included 35 patients, 26 males and 9 females, with an average age of 39 (range, 16 - 66) years. Seventeen patients had the risk factors (48.6%), including 11 with prior surgeries of the same knee: 7 reconstructions of the anterior cruciate ligament, 3 total knee replacement surgeries, and one intramedullary nailing. In 27 patients (77.1%), the surgery was performed during the first seven days after the injury. The following procedures were applied: patellar tendon repair with suture anchors in 5 cases; 13 transpatellar suturing through transpatellar tunnels; additional strengthening with wires and screws was performed in 7 patients; 7 reconstructions with bone-tendon-bone allograft taken from the bone bank, and in 3 patients contralateral bonetendon-bone autografts were used. Results and Discussion. The average Lysholm score was 86.1 (range, 27 - 100). Excellent results were found in 19 cases (54.2%), satisfactory in 10 (28.6%), and unsatisfactory in 6 patients (17.1%) who had chronic diseases and total knee replacement. The patients with timely diagnosis had significantly better results (90.1) than patients with chronic tendon injuries (72.6 points). Conclusion. Good results of acute rupture reconstruction are achieved by transosseous techniques or suture anchors. The surgery is much more complicated in neglected and chronic ruptures, and the results are worse. Surgical procedures, such as the patellar tendon reconstruction by bone-tendon-bone graft, additionally strengthened with wiring and screws, contribute to stable fixation, enable early rehabilitation, and prevent stiffness and muscle weakness.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Results of surgical treatment of the patellar tendon rupture

Ristić¹,

Milankov

Vranješ

et al. 2021

Med pregl

Self Cite

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“…Technically, it is a ligament (connecting a bone to a bone), but it has historically been referred to as a tendon because the patella is a sesamoid bone [1]. A patellar tendon rupture is the third most frequent injury of the extensor mechanism of the knee, right after patella fracture and quadriceps tendon rupture [2][3][4].…”

Section: Introductionmentioning

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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“…Not recognizing it on time with the consequent late surgical repair may result in disability and weakened function of the knee joint [3,4].…”

Section: Introductionmentioning

confidence: 99%