Traumatic Rupture of the Patellar Tendon From the Tibial Tuberosity in an Adult: A Case Report

Patellar tendon ruptures from the tibial tuberosity are very uncommon. Various surgical techniques are described for patellar tendon ruptures from the tibial tuberosity. A 58-year-old male without any predisposing factors had pain and swelling in the right knee due to a road traffic accident. Tense swelling and ecchymosis were present around the right knee with a palpable defect over the patellar tendon and an inability to extend the right knee. An MRI report revealed avulsion of the distal patellar tendon from the tibial tubercle insertion and medial meniscus tear. Primary repair was done with a double-loaded suture anchor and augmentation was done by using a Gracilis tendon. After the months, the knee range of motion (ROM) of the patient reached up to 90 degrees, and there was no extension lag on straight leg raise. Hamstring augmentation with a primary repair is the safest and a good surgical option in elderly patients with patellar tendon ruptures from the tibial tuberosity.