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Arthroscopic reconstruction of a ruptured patellar tendon: a technical note
Alper Gokce1, Huseyin Ekici, Fahri Erdogan
1Department of Orthopaedics and Traumatology, Namik Kemal University School of Medicine, Namik Kemal Caddesi No: 14, 59030, Tekirdag, Turkey. a.gokce@yahoo.com
Summary
This study presents an arthroscopic technique for reconstructing a ruptured patellar tendon using hamstring tendon grafts. The minimally invasive approach facilitated early rehabilitation and a 130-degree knee flexion at three months.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Patellar tendon ruptures often require surgical intervention.
- Traditional open repairs can lead to significant patient trauma and prolonged recovery.
- Minimally invasive techniques are sought to improve surgical outcomes.
Observation:
- A 35-year-old male with a traumatic patellar tendon rupture underwent arthroscopic reconstruction.
- Semi-tendinosus and gracilis tendons were used as grafts, harvested without tibial detachment.
- An endo-button device and Krackow sutures were utilized for graft fixation.
Findings:
- The arthroscopic reconstruction allowed for precise graft placement and secure fixation.
- The patient achieved 130 degrees of knee flexion by the 3-month follow-up.
- The procedure demonstrated successful restoration of knee function.
Implications:
- Arthroscopic patellar tendon reconstruction offers a less invasive surgical option.
- This technique may enable earlier initiation of rehabilitation protocols.
- Minimally invasive surgery can potentially reduce patient morbidity and improve functional recovery.