J Knee Surg 2013; 26(S 01): S019-S024
DOI: 10.1055/s-0031-1280972
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Patellar Tendon Reconstruction with Semitendinosus-Gracilis Autograft

Joshua D. Harris
1   Sports Medicine Center, The Ohio State University, Columbus, Ohio
,
Joseph J. Fazalare
3   Department of Orthopaedics, United Hospital Center, Clarksburg, West Virginia
,
Laura S. Phieffer
2   Department of Orthopaedics, The Ohio State University, Columbus, Ohio
,
David C. Flanigan
1   Sports Medicine Center, The Ohio State University, Columbus, Ohio
› Author Affiliations
Further Information

Publication History

01 October 2010

23 April 2011

Publication Date:
21 June 2011 (online)

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Abstract

We present a case of a 24-year-old, otherwise healthy, man who sustained a right knee injury after a fall. A small, comminuted inferior pole patella fracture with medial and lateral retinacular tears was encountered that required a small, nonarticular partial patellectomy and patellar tendon repair. An uneventful postoperative course was complicated by a fall onto a flexed knee and rerupture of the patellar tendon at 3 months following surgery. Intraoperatively, a significant tissue void was seen in the area of the prior repair. The patellar tendon was reconstructed with semitendinosus and gracilis autograft. At 1 year follow-up, the patient had regained a normal gait, had no pain, and had full range-of-motion without extensor lag.