Repair of Acute Patellar Tendon Rupture Augmented with Strong Sutures
J Knee Surg DOI: 10.1055/s-0036-1586725Rupture of the patellar tendon is an uncommon injury that requires acute surgical repair to restore the function of the knee. Multiple techniques for repair have been described in the literature. Complications with these repair techniques include rerupture and extensor lag caused by gap formation at the site of repair. Thus, many surgeons have suggested augmenting the standard repair. Several methods of augmentation have been described each with disadvantages. The purpose of this article was to present our case series of six patients with acute patella tendon ruptures treated by a novel procedure using strong sutures. In this method, eight strands of four-strong sutures run within the tendon. At the patellar site, a combination of suture button and figure eight pattern techniques is used, avoiding stress concentration. The optimal tension is applied to each suture, so as the patella might be positioned at the original placement. Then all sutures are secured onto the tibia. Postoperatively with a mean follow-up of 32.7 months (range: 25–48 months), all patients had a stable knee with mean flexion of 143.3 degrees (range: 140–150 degrees) and without any extension lag. With an improvement in the International Knee Documentation Committee score to 86.8 (range: 80–92), the excellent outcome was noted in all patients. The average postoperative Lysholm score was 98.8 (range: 97–100) and the average Kujala score was 95.2 (range: 92–97...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Otsubo, Hidenori Kamiya, Tomoaki Suzuki, Tomoyuki Kuroda, Miki Ikeda, Yasutoshi Matsumura, Takashi Yamashita, Toshihiko Tags: Original Article Source Type: research