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Related Experiment Video

Updated: Jun 27, 2026

Surgical Retrieval, Isolation and In vitro Expansion of Human Anterior Cruciate Ligament-derived Cells for Tissue Engineering Applications
08:30

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Case Presentation: Re-revision Quad Tendon Repair and Vastus Advancement.

Amar S Vadhera1,2, Safa Gursoy3, Lakshman Sivasundaram2

  • 1Sidney Kimmel Medical College, Philadelphia, Pennsylvania, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary
This summary is machine-generated.

Revision quadriceps repair offers promising functional outcomes for patients with chronic ruptures. This technique aims to restore knee extension and improve activity levels after complex tendon deficits.

Keywords:
extensor mechanismkneepatellaquadricepsrupturetendon

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Area of Science:

  • Orthopedic surgery
  • Musculoskeletal reconstruction

Background:

  • Quadriceps tendon ruptures, though rare, can lead to challenging revision repairs due to muscle atrophy and tendon retraction.
  • Augmentation with allografts or autografts is common in revision repairs to enhance strength and prevent re-rupture.

Purpose of the Study:

  • To describe a surgical technique for revision quadriceps tendon repair in patients with chronic ruptures.
  • To evaluate the outcomes of this revision repair procedure.

Main Methods:

  • The technique involves releasing adhesions, removing prior hardware, and performing a V-Y quadricepsplasty to address tendon retraction.
  • Tendon advancement is achieved through specific suturing techniques, followed by reattachment to the patella using anchors and Krackow configuration sutures.
  • Repair is augmented with an Achilles allograft.

Main Results:

  • Revision quadriceps repair has demonstrated promising functional outcomes.
  • Patients typically experience a successful return to activities and achieve good to excellent objective results.

Conclusions:

  • The described V-Y quadricepsplasty technique for revision repair shows favorable outcomes.
  • Further high-quality research is needed to establish the reliability and efficacy of revision quadriceps repair techniques.