Reconstruction of Chronic Patellar Tendon Rupture Surgical Technique

Delayed reconstruction of chronic patellar tendon ruptures classically has yielded suboptimal results with many complications that is, quadriceps contractures, prolonged postoperative immobilization, residual quadriceps weakness, or loss of knee flexion. Reinforcement hardware for example, cerclage wire may necessitate removal and the possibility of breaking with migration. This article details the use and follow-up of a surgical technique using hamstrings tendons autograft for the reconstruction of a chronic patellar tendon rupture. Although technically demanding, with potential complications, the functional results of this technique can be excellent.