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J Knee Surg 2008; 21(2): 130-135
DOI: 10.1055/s-0030-1247807
Surgical Technique

© 2008 Thieme Medical Publishers

Chronic Patellar Tendon Rupture – Surgical Reconstruction Technique Using 2 Achilles Tendon Allografts

Paul B. Lewis1 , John-Paul Rue2 , Bernard R. Bach1  Jr 
  • 1The Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Ill
  • 2The National Naval Medical Center, Bethesda, Md. At the time this article was written, Dr. Rue was from Rush University Medical Center, Chicago, Ill
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Publication History

Publication Date:
14 January 2010 (online)

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ABSTRACT

Delayed reconstruction of chronic patellar tendon ruptures classically has yielded suboptimal results. Quadriceps contracture, distal patella mobilization, quadriceps lengthening (eg, V-Y lengthening), prolonged postoperative immobilization, residual quadriceps weakness, surgical macro failure, and loss of knee flexion are some of the complications associated with treatment for chronic patellar tendon rupture. Reinforcement hardware (eg, cerclage wire) may necessitate subsequent removal and the possibility of breaking with migration through the body. This article details the use and short-term success of a surgical technique using 2 Achilles tendon allografts for reconstruction of a chronic patellar tendon rupture.

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