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Reconstruction of a Neglected Patellar Tendon Rupture in an Adolescent: A Case Report
Filippos Zigras1, George A Komnos1, Michael Hantes1,2
1Department of Orthopaedic Surgery & Musculoskeletal Trauma, University General Hospital of Larissa, Larissa, GRC.
Abstract:
We present a case of a neglected patellar tendon rupture, misdiagnosed as an anterior cruciate ligament tear, in a 12-year-old child with open physis without an avulsion fracture. The patient was treated with an ipsilateral hamstring tendon autograft with preserved distal insertions, a transpatellar tunnel, and a transtibial fixation. At the final follow-up, the patient had a full range of motion and a fully functional knee. The described technique results in complete muscle strength, full range of motion, and pain-free gait. It can be used in chronic patellar tendon ruptures and is a valuable addition to the therapeutic quiver for this type of injury.
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