Related Experiment Video
Updated: Feb 11, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
24.9K
Management of Acute Midsubstance Patella Tendon Rupture: Current Concepts and Clinical Narrative Review
Marco T Di Stefano1, Michael Young1, Michaela Corvi1,2
1Division of Sports Medicine, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Massachusetts General Brigham, Boston, Massachusetts.
JBJS Reviews
|February 9, 2026
Summary
Midsubstance patellar tendon repair is a complex surgery. Advanced techniques and augmentations enhance healing and function, with rehabilitation crucial for recovery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomaterials Science
Background:
- Midsubstance patellar tendon tears are uncommon and challenging surgical repairs.
- Tendon-to-tendon healing and tissue quality present unique difficulties.
- The Krackow suturing technique is the standard primary repair method.
Purpose of the Study:
- To review current surgical techniques for midsubstance patellar tendon repair.
- To discuss the role of protective constructs and augmentations.
- To outline postoperative rehabilitation protocols.
Main Methods:
- Review of current literature on midsubstance patellar tendon repair.
- Analysis of surgical techniques, including Krackow suturing.
- Evaluation of protective constructs and biological augmentations.
- Discussion of rehabilitation strategies.
Main Results:
- Krackow technique with fixation is most common.
- Protective constructs (sutures, wire) aid healing.
- Augmentations (autografts, allografts, scaffolds) improve outcomes in complex cases.
- Rehabilitation involves immobilization, progressive flexion, and gradual return to activity.
Conclusions:
- Midsubstance patellar tendon repair requires specialized techniques.
- Protective constructs and augmentations are vital for supporting repair and enhancing healing.
- Structured rehabilitation is essential for optimal patient recovery and return to function.
More Related Videos
Related Concept Videos
01:30Acute Pancreatitis II: Clinical Manifestations and Management
889
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
889
01:28Esophageal Perforation-II: Clinical Manifestations and Management
746
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
746
01:21Barrett Esophagus-II: Clinical Manifestations and Management
1.1K
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
1.1K
01:28Esophageal Varices-II: Clinical Features and Management
603
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
603
01:23Gastritis III: Clinical Manifestations and Management
1.3K
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
1.3K
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
443
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
443