Top

European Journal of Orthopaedic Surgery & Traumatology

Published in:

01-08-2019 | Patellar Tendon Rupture | Up-to date Review and Case Report • KNEE - PATELLA

Semitendinosus autograft augmentation after bilateral patellar tendon re-rupture: a case report and technique note

Authors: Alexander von Glinski, Emre Yilmaz, Valentin Rausch, Matthias Königshausen, Thomas Armin Schildhauer, Dominik Seybold, Jan Geßmann

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 6/2019

Abstract

Background

Acute bilateral patellar tendon rupture is a rare occurrence, especially in young patients in the absence of comorbidities. We describe a case of bilateral patellar tendon re-rupture in a young patient without predisposing factors. Further, we explain a technique for autograft augmented patellar tendon repair with bidirectional fixation using an ipsilateral semitendinosus graft in transosseous patellar and tibia bone tunnels.

Case presentation

We present the case of a 40-year-old healthy worker with bilateral acute on chronic patellar tendon rupture maintained following initial trauma and Krackow repair 2 years ago. He underwent bilateral reconstruction using semitendinosus autograft. At 1 year postoperatively, he has maintained the full range of motion and strength without re-rupture.

Conclusion

This is the first case describing a new fixation technique after bilateral patellar tendon re-rupture. The use of semitendinosus autograft for reconstruction of the patellar tendon after re-rupture is a viable and effective option.

Ahrberg A, Josten C (2007) Augmentation of patella fractures and patella tendon ruptures with the McLaughlin–Cerclage. Unfallchirurg 110:685–690CrossRefPubMed

Bartalena T, Rinaldi MF, De Luca C et al (2010) Patellar tendon rupture: radiologic and ultrasonographic findings. West J Emerg Med 11:90–91PubMedPubMedCentral

Camarda L, D’arienzo A, Morello S et al (2017) Bilateral ruptures of the extensor mechanism of the knee: a systematic review. J Orthop 14:445–453CrossRefPubMedPubMedCentral

Dejour H, Denjean S, Neyret P (1992) Treatment of old or recurrent ruptures of the patellar ligament by contralateral autograft. Rev Chir Orthop Reparatrice Appar Mot 78:58–62PubMed

Dietz SO, Rommens PM, Hessmann MH (2008) Transosseous repair of patellar tendon ruptures. Oper Orthop Traumatol 20:55–64CrossRefPubMed

Duthon VB, Fritschy D (2011) Knee extensor mechanism ruptures. Rev Med Suisse 7:1544–1548PubMed

Ecker ML, Lotke PA, Glazer RM (1979) Late reconstruction of the patellar tendon. J Bone Joint Surg Am 61:884–886CrossRefPubMed

Foley J, Elhelali R, Moiloa D (2019) Spontaneous simultaneous bilateral patellar tendon rupture. BMJ Case Rep. https://doi.org/10.1136/bcr-2018-227931

Gilmore JH, Clayton-Smith ZJ, Aguilar M et al (2015) Reconstruction techniques and clinical results of patellar tendon ruptures: evidence today. Knee 22:148–155CrossRefPubMed

10.

Goldstein ZH, Yi PH, Haughom BD et al (2015) Bilateral extensor mechanism disruption after total knee arthroplasty in two morbidly obese patients. Orthopedics 38:e443–e446CrossRefPubMed

11.

Greis PE, Holmstrom MC, Lahav A (2005) Surgical treatment options for patella tendon rupture, part I: acute. Orthopedics 28:672–679 (quiz 680–671) CrossRefPubMed

12.

Grelsamer RP, Meadows S (1992) The modified Insall-Salvati ratio for assessment of patellar height. Clin Orthop Relat Res 282:170–176

13.

Hsu KY, Hsu WW, Ho WP et al (1994) Traumatic patellar tendon ruptures—a follow-up study of primary repair and neutralization wire. Changgeng Yi Xue Za Zhi 17:39–43PubMed

14.

Jarvinen TA, Jarvinen TL, Kannus P et al (2004) Collagen fibres of the spontaneously ruptured human tendons display decreased thickness and crimp angle. J Orthop Res 22:1303–1309CrossRefPubMed

15.

Jozsa L, Kannus P (1997) Histopathological findings in spontaneous tendon ruptures. Scand J Med Sci Sports 7:113–118CrossRefPubMed

16.

Kasten P, Schewe B, Maurer F et al (2001) Rupture of the patellar tendon: a review of 68 cases and a retrospective study of 29 ruptures comparing two methods of augmentation. Arch Orthop Trauma Surg 121:578–582CrossRefPubMed

17.

Larsen E, Lund PM (1986) Ruptures of the extensor mechanism of the knee joint. Clinical results and patellofemoral articulation. Clin Orthop Relat Res 213:150–153

18.

Lazaro LE, Wellman DS, Sauro G et al (2013) Outcomes after operative fixation of complete articular patellar fractures: assessment of functional impairment. J Bone Joint Surg Am 95(e96):91–98

19.

Maffulli N, Wong J (2003) Rupture of the Achilles and patellar tendons. Clin Sports Med 22:761–776CrossRefPubMed

20.

Meyer Z, Ricci WM (2016) Knee extensor mechanism repairs: standard suture repair and novel augmentation technique. J Orthop Trauma 30(Suppl 2):S30–S31CrossRefPubMed

21.

Moonot P, Fazal MA (2005) Traumatic patella tendon rupture: early mobilisation following surgical repair. Injury 36:1385CrossRefPubMed

22.

Negrin LL, Nemecek E, Hajdu S (2015) Extensor mechanism ruptures of the knee: differences in demographic data and long-term outcome after surgical treatment. Injury 46:1957–1963CrossRefPubMed

23.

Pengas IP, Assiotis A, Khan W et al (2016) Adult native knee extensor mechanism ruptures. Injury 47:2065–2070CrossRefPubMed

24.

Ravalin RV, Mazzocca AD, Grady-Benson JC et al (2002) Biomechanical comparison of patellar tendon repairs in a cadaver model: an evaluation of gap formation at the repair site with cyclic loading. Am J Sports Med 30:469–473CrossRefPubMed

25.

Scott N (2012) Surgery of the knee. Elsevier, Urban&FischerVerlag, Amsterdam

26.

Sibley T, Algren DA, Ellison S (2012) Bilateral patellar tendon ruptures without predisposing systemic disease or steroid use: a case report and review of the literature. Am J Emerg Med 30(261):e263–e265

27.

Siwek CW, Rao JP (1981) Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg Am 63:932–937CrossRefPubMed

28.

Talia AJ, Tran P (2016) Bilateral patellar tendon reconstruction using LARS ligaments: case report and review of the literature. BMC Musculoskelet Disord 17:302CrossRefPubMedPubMedCentral

29.

Tejwani NC, Lekic N, Bechtel C et al (2012) Outcomes after knee joint extensor mechanism disruptions: Is it better to fracture the patella or rupture the tendon? J Orthop Trauma 26:648–651CrossRefPubMed

30.

Thelin N, Holmberg S, Thelin A (2006) Knee injuries account for the sports-related increased risk of knee osteoarthritis. Scand J Med Sci Sports 16:329–333CrossRefPubMed

31.

Webb LX, Toby EB (1986) Bilateral rupture of the patella tendon in an otherwise healthy male patient following minor trauma. J Trauma 26:1045–1048CrossRefPubMed

32.

Yu JS, Petersilge C, Sartoris DJ et al (1994) MR imaging of injuries of the extensor mechanism of the knee. Radiographics 14:541–551CrossRefPubMed

33.

Zribi W, Zribi M, Guidara AR et al (2018) Spontaneous and simultaneous complete bilateral rupture of the quadriceps tendon in a patient receiving hemodialysis: a case report and literature review. World J Orthop 9:180–184CrossRefPubMedPubMedCentral

Title: Semitendinosus autograft augmentation after bilateral patellar tendon re-rupture: a case report and technique note
Authors: Alexander von Glinski
Emre Yilmaz
Valentin Rausch
Matthias Königshausen
Thomas Armin Schildhauer
Dominik Seybold
Jan Geßmann
Publication date: 01-08-2019
Publisher: Springer Paris
Keyword: Patellar Tendon Rupture
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 6/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02420-8

At a glance: The STEP trials

Springer Medicine

Semitendinosus autograft augmentation after bilateral patellar tendon re-rupture: a case report and technique note

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2019

Synovial hemangioma of the knee joint in pediatrics: our case series and review of literature

Risk of ulnar nerve injury during cross-pinning in supine and prone position for supracondylar humeral fractures in children: a recent literature review

Comparative responsiveness of four visual analogue scales in microdiscectomy for lumbar disc herniation

Timing of surgical interventions for upper cervical epidural abscess: a case report and review of the literature

Stem length in primary cementless total hip arthroplasty: Does it make a difference in bone remodeling?

Independent clinical appraisal of the Tape Locking Screw (TLS®) anterior cruciate ligament reconstruction technique compared with the hamstring graft technique with a minimum of 12-month follow-up