Abstract
Rupture of the quadriceps tendon is an uncommon injury and rapid diagnosis is important because delay in surgical repair generally is believed to adversely affect outcome. One study of 20 patients suggests repair should be done during the first 48 to 72 hours postinjury to achieve a successful outcome and late repair led to unsatisfactory recovery. Cases of delayed tendon repair have been reported, the longest to our knowledge being 11 months before surgical intervention. We present a case of successful outcome of a quadriceps tendon rupture reconstructed at least 8 years after occurrence and a review of the literature of delayed reconstructions. We show that successful restoration of extensor mechanism function can be achieved several years after tendon rupture.
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References
Katzman BM, Silberberg S, Caligiuri DA, Klein DM, DiPaolo P. Delayed repair of quadriceps tendon. Orthopedics. 1997;20:553–554.
McGrory JE. Disruption of the extensor mechanism of the knee. J Emerg Med. 2003;24:163–168.
Rasul AT Jr, Fischer DA. Primary repair of quadriceps tendon ruptures: results of treatment. Clin Orthop Relat Res. 1993;289:205–207.
Scuderi C. Rupture of the quadriceps tendon: study of twenty tendon ruptures. Am J Surg. 1958;95:626–634.
Siwek CW, Rao JP. Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg Am. 1981;63:932–937.
Tegner Y, Lysholm J. Ratings systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985;198:43–49.
Acknowledgments
We thank Robert Janowski from Kingston Hospital medical photography department and the media services department at St George’s Hospital Medical School for the illustrations.
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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.
Each author certifies that his or her institution has approved the reporting of this case report, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.
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Pocock, C.A.J., Trikha, S.P. & Bell, J.S.P. Case Report. Clin Orthop Relat Res 466, 221–224 (2008). https://doi.org/10.1007/s11999-007-0002-9
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DOI: https://doi.org/10.1007/s11999-007-0002-9