Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 22, Issue 10, pp 2551–2553 | Cite as

Patellofemoral arthrodesis as pain relief in extreme patella alta

  • S. VenkatesanEmail author
  • A. van Kampen



There is no golden standard management for neglected, chronic patellar tendon rupture as they are fairly rare. Nevertheless, accompanying pain can be highly debilitating. By presenting a case of patellar tendon repair, the exceptional results of a patellofemoral arthrodesis are described.


A patient presented herself with a sustained patellar tendon rupture which was neglected for several years, causing a complete extensor mechanism dysfunction. Her most debilitating complaint was pain. As ligament reconstruction in this case was not possible, patellofemoral arthrodesis was aimed for. The pain resulting from micromotions was subsided by implementing a unique technique using a lock-key principle to obtain a patellofemoral arthrodesis.


The procedure proceeded without complications. The patient followed a regular post-operative plan and is now successful in maximum weight bearing her knee without pain.


A patellofemoral arthrodesis can be regarded safe and also very effective in the relief of pain in extreme patella alta.

Level of evidence

Therapeutic studies, Level IV.


Traumatic patella tendon rupture Patellar tendon Patella alta Surgical treatment 


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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgerySt. Maartenskliniek NijmegenNijmegenThe Netherlands
  2. 2.Department of Orthopaedic SurgeryUMC Radboud NijmegenNijmegenThe Netherlands

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