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Reconstruction of Neglected Patellar Tendon Rupture using Tendoachilles' Allograft with Transosseous Tunnels: A Case
Sharath Kittanakere Ramanath1, Rahul Hemant Shah2, Sandesh Patil1
1Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bengaluru, Karnataka, India.
Introduction:
Neglected patellar tendon ruptures are uncommon. They are challenging due to the proximal migration of patella and soft-tissue contractures. They are usually managed with autografts or allografts with or without synthetic augmentation, and fixation is done using metallic implants.
Case Report:
A 59-year-old farmer presented with an inability to straighten his knee for 6 months after sustaining a cut lacerated wound with a sickle. He was diagnosed with a patellar tendon rupture. Tendoachilles' allograft reconstruction was done by creating transosseous tunnels in the patella and tibial tuberosity with a figure of 8 con figurations of the final construct. Synthetic augmentation and metallic implants were not used. Excellent clinical and radiological results were achieved at 3 years' follow-up.
Conclusion:
Chronic patellar tendon ruptures can be managed using allograft without the need for synthetic augmentation or fixation with implants. This gives excellent clinical and radiological results.
