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[Quadriceps and patellar tendon ruptures].

P Lobenhoffer1, H Thermann

  • 1Klinik für Unfall- und Wiederherstellungschirurgie, Henriettenstiftung Hannover. HPLobenhof@AOL.com

Der Orthopade
|May 8, 2000
PubMed
Summary
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Quadriceps and patellar tendon ruptures cause significant leg dysfunction and typically require surgery. Treatment varies from suture repair for acute injuries to tendon transfers or reconstructions for chronic cases, often involving patellar fixation.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Quadriceps and patellar tendon ruptures are infrequent but lead to severe functional impairment.
  • Operative intervention is the standard treatment for these injuries.

Purpose of the Study:

  • To review current surgical techniques for managing acute and chronic quadriceps and patellar tendon ruptures.
  • To outline methods for tendon repair, augmentation, and reconstruction.

Main Methods:

  • Suture repair with bone tunnels for acute quadriceps tendon ruptures.
  • Tendon transfers (turn-down, V-Y plasty) for chronic quadriceps defects.
  • Suture repair with reinforcement and patellar fixation for patellar tendon ruptures.
  • Grafting techniques (autologous, allograft) for chronic patellar tendon injuries.

Related Experiment Videos

Main Results:

  • Acute ruptures are addressed with direct suture repair.
  • Chronic or neglected cases necessitate tendon transfer or reconstruction.
  • Patellar fixation methods include cerclage wiring, autologous strips, or external fixators.
  • Grafts require protection with patellar fixation during initial healing.

Conclusions:

  • Surgical management of quadriceps and patellar tendon ruptures is essential for restoring leg function.
  • Techniques are tailored to acute versus chronic presentations, with reconstruction often required for neglected injuries.
  • Effective patellar fixation is crucial for successful outcomes in patellar tendon repair and reconstruction.