Transosseous Suture Fixation in Quadriceps Rupture: A Surgical Technique and a Case Report

Background: An important goal of surgical treatment of the quadriceps or patellar tendons is to provide sufficient strength for performing range-of-motion exercises soon after surgery. A popular treatment for repair of acute quadriceps tendon rupture is to insert sutures through patellar bone tunnels, which yields good to excellent results in most cases. Objective: We report the case of quadriceps tendon rupture in a young male, his radiological findings, intervention received, and the review of relevant literature as well as outcomes. Case Presentation: A 29-year-old obese man presented with a 10-day-old quadriceps rupture, which was repaired with transosseous patellar fixation. A 6-month follow-up revealed a satisfactory clinical and functional outcome. Discussion and Conclusion: Repair of acute quadriceps tendon tear repair by passing sutures through patellar bone tunnels is a popular and successful technique to preserve the knee extensor mechanism and to provide sufficient strength for range-of-motion exercises.