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Updated: Jan 18, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

Published on: December 10, 2021

Box-and-1 Suture Augmented Transosseous Patellar Tendon Repair.

Chirag Soni¹, Joash R Suryavanshi, Anthony Sorkin

¹Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN.

Journal of Orthopaedic Trauma

|September 11, 2025

Summary

This summary is machine-generated.

This study details a novel surgical technique for repairing acute patellar tendon ruptures. The box-and-1 augmentation enhances the standard Krackow suture repair for improved outcomes in extensor mechanism disruption.

Keywords:

patellar tendon repair patellar tendon tear tendon rupture

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Published on: January 13, 2026

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomedical Engineering

Background:

Patellar tendon ruptures disrupt the knee's extensor mechanism.
Surgical repair is the standard treatment for these injuries.
Traditional repair methods face challenges with mechanical strength.

Purpose of the Study:

To describe a novel suture augmentation technique for patellar tendon repair.
To present a case study of its application in an acute rupture.
To offer an alternative for enhancing surgical repair stability.

Main Methods:

Standard transosseous primary repair utilizing Krackow sutures.
Novel box-and-1 suture augmentation technique applied.
Case review of a 53-year-old male with acute patellar tendon rupture.

Main Results:

Successful surgical repair was achieved.
The novel augmentation technique was integrated with the standard repair.
The case demonstrates the feasibility of the box-and-1 augmentation.

Conclusions:

The box-and-1 suture augmentation is a viable technique for patellar tendon repair.
This method offers potential for enhanced stability in extensor mechanism reconstruction.
Further studies are warranted to evaluate long-term efficacy and patient outcomes.