Chronic Patellar Tendon Rupture –Surgical Reconstruction Technique Using 2 Achilles Tendon Allografts

Paul B. Lewis; John-Paul Rue; Bernard R. Bach

doi:10.1055/s-0030-1247807

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2008; 21(2): 130-135
DOI: 10.1055/s-0030-1247807

Surgical Technique

Chronic Patellar Tendon Rupture – Surgical Reconstruction Technique Using 2 Achilles Tendon Allografts

Paul B. Lewis¹ , John-Paul Rue² , Bernard R. Bach¹ Jr

¹The Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Ill
²The National Naval Medical Center, Bethesda, Md. At the time this article was written, Dr. Rue was from Rush University Medical Center, Chicago, Ill

Abstract

ABSTRACT

Delayed reconstruction of chronic patellar tendon ruptures classically has yielded suboptimal results. Quadriceps contracture, distal patella mobilization, quadriceps lengthening (eg, V-Y lengthening), prolonged postoperative immobilization, residual quadriceps weakness, surgical macro failure, and loss of knee flexion are some of the complications associated with treatment for chronic patellar tendon rupture. Reinforcement hardware (eg, cerclage wire) may necessitate subsequent removal and the possibility of breaking with migration through the body. This article details the use and short-term success of a surgical technique using 2 Achilles tendon allografts for reconstruction of a chronic patellar tendon rupture.

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