[Rupture of the extensor apparatus of the knee]

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomechanics of Tendons

Background:

• Rupture of the extensor apparatus of the knee is a significant injury.
• Road accidents are a frequent cause, potentially exacerbated by degenerative tendon changes.

Purpose of the Study:

• To analyze 45 cases of knee extensor apparatus rupture (excluding patellar fractures).
• To investigate the role of road accidents and predisposing degenerative features.
• To evaluate surgical reconstruction outcomes and complication rates.

Main Methods:

• Surgical reconstruction using suture, cerclage, or reinsertion.
• Application of established surgical procedures (Mac Laughlin and Scuderi).
• Detailed presentation and analysis of treatment results.

Main Results:

• 90% of patients achieved very good or good outcomes post-surgery.
• Complications occurred in 27% of cases, both intraoperatively and postoperatively.
• Successful reconstruction was achieved in all operated cases.

Conclusions:

• Surgical intervention is effective for knee extensor apparatus rupture, with high success rates.
• Predisposing factors like tendon degeneration and trauma mechanisms (road accidents) warrant further investigation.
• Managing complications is crucial for optimizing patient recovery.