Key result
Primary surgical repair of an 8-month neglected patellar tendon rupture using direct reattachment and suture reinforcement resulted in 121 degrees of flexion, a 5-degree extension lag, and a Knee Society Score of 80/100 at 4 months.
Why the study?
Neglected rupture of the patellar tendon is rare and literature on its surgical management is scarce.
Case Report (n=1)
No
Primary surgical repair of a neglected patellar tendon rupture without graft tissue was successful in restoring knee function in a patient with an 8-month delay in presentation.
Answers are grounded in this paper and cite their sources.
May support primary repair for neglected patellar tendon ruptures; hypothesis-generating and requires controlled studies.
Neglected rupture of the patellar tendon is rare, as this type of injury is typically disabling in the acute setting. We present a 31-year-old male patient who sustained a left patellar tendon rupture while playing basketball. The diagnosis of patellar tendon rupture was neglected by the patient and care was delayed by 8 months. The proximally retracted patella and distally detached patellar tendon were brought back to their anatomic positions and repaired surgically while avoiding the use of autograft or allograft tissue due to fat interposition maintaining the patellar tendon length. This case report contributes to the scarce literature on surgical management of neglected patellar tendon rupture and presents a unique radiologic appearance of a chronic patellar tendon rupture.
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Shaheen Jadidi (2020) conducted a case report in Neglected patellar tendon rupture (n=1). Primary surgical repair with direct tendon reattachment and suture reinforcement was evaluated on Knee range of motion and Knee Society Score at 4 months. Primary surgical repair of an 8-month neglected patellar tendon rupture using direct reattachment and suture reinforcement resulted in 121 degrees of flexion, a 5-degree extension lag, and a Knee Society Score of 80/100 at 4 months.
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