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Patellar Tendon Reconstruction After Failed Primary Repair of Bilateral Ruptures: A Case Report
Martin Husen1,2, Aaron J Krych1, Keshav Poudel1
1Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota.
Case:
A 29-year-old man sustained a bilateral acute patellar tendon rupture (PTR) while jumping on a trampoline. He was initially treated with bilateral transosseous patellar tendon repairs. Bilateral rerupture occurred during a fall 10 weeks after. He subsequently underwent staged bilateral patellar tendon reconstructions using an Achilles tendon allograft. At 3-year follow-up, he has maintained full range of motion and leg strength without rerupture or other complications.
Conclusion:
The use of Achilles tendon allograft in the presence of inadequate and poor-quality tendon tissue for reconstruction of the patellar tendon in the revision setting is a viable and effective treatment option.
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