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Patellar tendon re-rupture on the opposite end of the previous site of surgical repair

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Abstract

We describe a rare case of a patellar tendon “re-rupture” at the opposite end of a previous proximal tendon repair. A 32-year-old male with a history of surgically repaired right proximal patellar tendon rupture presented with an acute non-traumatic right knee pain and instability during sports. Magnetic resonance imaging confirmed a complete rupture of his distal patellar tendon at the tibial tuberosity. The patellar tendon was repaired using two 5.5 mm BioCorkscrews (Arthrex) inserted into the tibial tuberosity; the tendon was stitched with the No. 2 fiberwires using Krackow technique. As the patellar tendon was degenerative, the repair was augmented with a semitendinosus tendon harvested using an open tendon stripper, leaving the distal attachment intact. At 2.6 years followup he had mild anterior knee pain, range of motion 0–1300 and was able to squat. MRI scan done at followup revealed good healing of repaired patellar tendon.

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Correspondence to Bryan Thean Howe Koh.

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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Koh, B.T.H., Sayampanathan, A.A. & Lee, K.T. Patellar tendon re-rupture on the opposite end of the previous site of surgical repair. IJOO 51, 334–336 (2017). https://doi.org/10.4103/0019-5413.205687

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  • DOI: https://doi.org/10.4103/0019-5413.205687

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