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Reconstruction of Neglected Tears of the Extensor Apparatus of the Knee

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Sports Injuries

Abstract

The extensor apparatus of the knee consists of the quadriceps muscle and tendon, the patella, and patellar tendon. Patellar fractures are common injuries, and neglected patella fractures are exceptional, while quadriceps or patellar tendon tears may be misdiagnosed in emergency department. Patellar tendon and quadriceps tendon ruptures are serious injuries. The surgical management of chronic tears (greater than 6 weeks) may be highly demanding because of the retraction of the patella, the soft tissue retraction, and scar formation which create an irreducible gap. In these cases, primary repair is not possible. Many surgical techniques have been proposed for the treatment of neglected ruptures, but the optimal management is controversial. In this chapter two surgical techniques for reconstruction of the chronic ruptures of the quadriceps and patellar tendon are described.

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Author information

Authors and Affiliations

  1. Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno, Italy

    Nicola Maffulli

  2. Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, Barts and the London School of Medicine and Dentistry, 275 Bancroft Road, London, E1 4DG, UK

    Nicola Maffulli

  3. Department of Orthopaedic and Traumatology, University of Rome “Tor Vergata”, School of Medicine, Viale Oxford 81, Rome, 00133, Italy

    Alessio Giai Via & Francesco Oliva

Authors
  1. Nicola Maffulli
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  2. Alessio Giai Via
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  3. Francesco Oliva
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Corresponding author

Correspondence to Nicola Maffulli .

Editor information

Editors and Affiliations

  1. Dept. Orthopedics & Traumatology, Hacettepe University Fac. Medicine, Ankara, Turkey

    Mahmut Nedim Doral

  2. Gothenburg, Sweden

    Jon Karlsson

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© 2014 Springer-Verlag Berlin Heidelberg

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Maffulli, N., Giai Via, A., Oliva, F. (2014). Reconstruction of Neglected Tears of the Extensor Apparatus of the Knee. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_132-1

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  • DOI: https://doi.org/10.1007/978-3-642-36801-1_132-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-36801-1

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