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Quadriceps tendon ruptures-is there a complete functional restitution?
M E Wenzl1, R Kirchner, K Seide
1Abteilung für Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg, Bergedorferstrasse 10, 21033 Hamburg, Germany. m.wenz@buk-hamburg.de
Injury
|August 11, 2004
Summary
Prompt surgical repair for traumatic quadriceps tendon ruptures yields optimal outcomes. Early operative intervention, within 14 days, significantly improves patient results and return to work rates.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Traumatic quadriceps tendon ruptures are severe injuries.
- Optimal treatment timing is crucial for functional recovery.
Purpose of the Study:
- To evaluate the long-term outcomes of surgically treated traumatic quadriceps tendon ruptures.
- To determine factors influencing patient recovery and return to work.
Main Methods:
- Retrospective study of 35 patients (36 ruptures) treated between 1986-1999.
- Data collected via questionnaires (Lysholm score), physical exams, X-rays, and isokinetic testing.
- Analysis focused on operative timing, repair type, and post-operative care.
Main Results:
- Outcomes were significantly dependent on operative timing (P < 0.001).
- Patients operated within 14 days had predominantly excellent/good results (24/24).
- Factors like repair type, physiotherapy, age, and BMI did not influence final outcomes.
Conclusions:
- Early surgical intervention (within 14 days) is critical for successful treatment of traumatic quadriceps tendon ruptures.
- High rates of excellent/good outcomes and return to work are achievable with timely repair.
- Surgical technique and rehabilitation protocols had no significant impact on long-term results.