Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 25, Issue 8, pp 2468–2473 | Cite as

Reconstruction of chronic patellar tendon rupture with contralateral bone-tendon-bone autograft

  • Eduardo Frois Temponi
  • Nuno Camelo
  • Sanesh Tuteja
  • Mathieu Thaunat
  • Matt Daggett
  • Jean Marie Fayard
  • Lúcio Honório de Carvalho Júnior
  • Bertrand Sonnery-Cottet
Knee

Abstract

Purpose

To evaluate the clinical and functional outcome following the reconstruction of chronic patellar tendon ruptures using the contralateral bone-tendon-bone (BTB) autograft.

Methods

The records of seven patients who underwent reconstruction of chronic patellar tendon rupture with contralateral patellar BTB were retrospectively reviewed. Chronic tears were defined as a minimum of 3 months from injury to initial clinical evaluation. Clinical assessments included range of motion of the knee, Tegner, Lysholm and International Knee Documentation Committee (IKDC) score and a radiographic analysis of patellar height (CatonDeschamps index). Postoperative complications and quadriceps strength at last follow-up were reported.

Results

The mean age of the patients undergoing surgery was 33 (±10.5) years with a mean follow-up of 41.3 (±29.7) months. Reconstruction surgery was performed at an average of 16 months (3–60 months) after the injury. 86 % of the patients had a normal patella height with mean of patellar height of 1.5 (±0.2) in preoperative radiographs and of 1.2 (±0.07) on postoperative evaluation (p = 0.0136). The mean IKDC was 45.5 (±10.8) before surgery and 64.5 (±12.4) at the last follow-up (p = 0.0001), and Lysholm score was 45.4 (±11.3) and 79 (±11.8), respectively (p = 0.0001). The median Tegner activity scale preinjury was 6 (range 5–7), preoperatively was 1 (range 1–2) and 4 (range 2–5) postoperatively (p = 0.0001). All patients had quadriceps wasting with a difference in thigh girth between the injured side and healthy side of 3.6 ± 0.7 cm (ns). No surgical complications were encountered.

Conclusions

In this limited cohort, surgical reconstruction of chronic patellar tendon ruptures using contralateral bone-tendon-bone graft was a safe and viable option that improves clinical and functional outcomes compared to presurgical function. However, despite the restoration of a normal patellar height, function did not return to preinjury level.

Keywords

Patellar tendon rupture Chronic injury Autograft Reconstruction Bone-tendon-bone 

Supplementary material

167_2015_3951_MOESM1_ESM.mp4 (53 mb)
Supplementary material 1 (MP4 54313 kb)

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015

Authors and Affiliations

  • Eduardo Frois Temponi
    • 1
  • Nuno Camelo
    • 2
  • Sanesh Tuteja
    • 2
  • Mathieu Thaunat
    • 2
  • Matt Daggett
    • 3
  • Jean Marie Fayard
    • 2
  • Lúcio Honório de Carvalho Júnior
    • 1
  • Bertrand Sonnery-Cottet
    • 2
  1. 1.Hospital Madre TeresaBelo HorizonteBrazil
  2. 2.Centre Orthopedic Santy, FIFA Medical Center of Excelence, Ramsay-Générale de Santé, Hôpital Privé Jean MermozHôpital Privé Jean MermozLyonFrance
  3. 3.Kansas City UniversityKansas CityUSA

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