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Major Quadriceps Gap After Neglected Patellar Sleeve Fracture in a Child: A Case Report
Franck Chotel1, François Fauré
1Department of pediatric Orthopaedic Surgery, Lyon University Hospital for Mother and Children, Bron, France.
Case:
A 14-year-old boy presented with a neglected patellar sleeve fracture, resulting in a 19 cm gap between the retracted quadriceps and patella. A stepwise surgical reconstruction combining the "Chambat Sardine Can" tensioning technique, tibial tubercle transfer, rectus femoris release, and allograft bridging was performed.
Conclusion:
This is the first reported case of such a massive quadriceps retraction. The adaptable surgical strategy, tailored to defect severity, led to excellent functional outcomes and may be applied in both pediatric and adult chronic extensor mechanism ruptures.
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