Patellar tendon reconstruction with ipsilateral free semi-tendinosus and gracilis autograft for neglected patellar tendon rupture

• Main Authors: Appalaraju Sanaboyina, Venkateswara M Rao
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Orthopaedics and Allied Sciences
• Subjects: Absent active straight leg raising; free hamstring (semitendinosus and gracilis) graft; modified Insall-Salvati ratio; neglected patellar tendon rupture; patella alta; quadriceps expansion rupture
• Online Access: http://www.joas.in/article.asp?issn=2319-2585;year=2015;volume=3;issue=1;spage=40;epage=43;aulast=Sanaboyina

Chronic patellar tendon ruptures are rare. Diagnosis is usually made on clinical background. The ideal method of treatment is a matter of debate. The management of neglected, chronic patellar tendon must address four difficulties: The proximally retracted patella, reconstruction of the patellar tendon, temporary protection of repair, patello-femoral tracking, and active full range of knee movement. By presenting a case of chronic patellar tendon rupture, the advantages of reconstruction with a free semi-tendinosus and gracilis autograft from an early rehabilitation are described.