scholarly journals Quadriceps tendon rupture - treatment results

2013 ◽  
Vol 66 (11-12) ◽  
pp. 453-458 ◽  
Author(s):  
Iva Popov ◽  
Vladimir Ristic ◽  
Mirsad Maljanovic ◽  
Vukadin Milankov

Introduction. Quadriceps tendon rupture is a rare but rather serious injury. If this injury is not promptly recognized and early operated, it may lead to disability. This research was aimed at pointing out the results and complications of the quadriceps tendon rupture surgical treatment. Material and Methods. This retrospective multicentric study was conducted in a group of 29 patients (mostly elderly men). Lysholm knee scoring scale was used to evaluate the surgical results. The post-operative results were compared in relation to the type of tendon rupture reconstructions (acute or chronic), various surgical techniques, type of injuries (unilateral or bilateral) as well as the presence or absence of comorbid risk factors in the patients. Results. The average value of a Lysholm score was 87.6. Excellent and satisfactory Lysholm score results dominated in our sample of patients. Better post-operative results were recorded in the group of patients without risk factors, in case of a bilateral injury, and in case of an acute injury. The best result was obtained after performing the reconstruction using anchors, and the worst result came after using Codivilla technique. Discussion and Conclusion. Early diagnosis and surgical treatment are an absolute imperative in management of this injury. We have not proven that a certain surgical technique has an advantage over the others. A comorbid risk factor is related to a lower Lysholm score. Despite a few cases of complications, we can conclude that the surgical treatment yields satisfactory results.

Injury ◽  
2014 ◽  
Vol 45 (12) ◽  
pp. 1970-1973 ◽  
Author(s):  
Luis Marcelo A. Malta ◽  
Vinicius S. Gameiro ◽  
Elisa A. Sampaio ◽  
Maria E. Gouveia ◽  
Jocemir R. Lugon

2016 ◽  
Vol 28 (2) ◽  
pp. 161-164 ◽  
Author(s):  
Seung-Hun Lee ◽  
Eun-Kyoo Song ◽  
Jong-Keun Seon ◽  
Seong-Hwan Woo

Author(s):  
Naveed Natanzi ◽  
Sujin Lee ◽  
Kentaro Onishi ◽  
Xing Zhao ◽  
Ronald Takemoto

AbstractSimultaneous, bilateral quadriceps tendon rupture is a rare pathology, commonly predisposed by trauma or systemic disorders. Diagnosis based on history, physical examination and plain films can be delayed in acute injury. We report a case of simultaneous bilateral quadriceps tendon rupture that was diagnosed with sonographic evaluation 6 weeks after the initial injury.


2015 ◽  
Vol 68 (1-2) ◽  
pp. 22-28 ◽  
Author(s):  
Nemanja Kovacev ◽  
Jelena Antic ◽  
Nemanja Gvozdenovic ◽  
Mirko Obradovic ◽  
Miodrag Vranjes ◽  
...  

Introduction. Patellar tendon rupture is a rare injury which, if missed, leads to delayed surgical treatment and may result in the loss of the knee joint function. The aim of this study was to report our results of operative treatment of the patellar tendon rupture and point out the significance of timely diagnosis and surgical procedure. Material and Methods. This retrospective tenyear study included 20 patients, 15 males and 5 females, their mean age being 42 (20-84) years. Seven participants had an injury on the right side and 13 had an injury on the left side. Thirteen participants had the diagnosis set in the first seven days after the injury. The applied techniques were surgical suture of the tendon, bone-tendon-bone ligamentoplasty using allograft from a bone bank and bone-tendon-bone ligamentoplasty using contralateral autograft, and they were performed in 12, 5 and 3 patients, respectively. The treatment results were assessed by using the Lysholm score, measuring the range of movement in the knee joint and measuring the girth of the thigh 10 cm above the patella. Results. The follow-up period after the surgery was 4 years on average (1-10 years) and the average value of the Lysholm score was 83 (27-100). The result was found to be excellent in 11 cases, satisfactory in 5 cases and unsatisfactory in 4. A statistically significant difference (p=0.0197 p<0.05) was found in the average values of the Lysholm score between the group of patients with risk factors (71.78) and the subjects without risk factors (92.18). A statistically significant difference (p=0.008 p<0.01) was found in the Lysholm score between the patients with timely diagnosis (91.62) and cases of chronic tendon tear (67). Conclusion. Timely diagnosis and early surgical reparation are the basic imperatives in the treatment of this injury. Comorbidity and risk factors are related to a poorer postoperative Lysholm score. The method of choice is early surgical treatment.


2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Mahmoud Jabalameli ◽  
Abolfazl Bagherifard ◽  
Hosseinali Hadi ◽  
Amin Yoosefzadeh ◽  
Hooman Yahyazadeh ◽  
...  

2021 ◽  
Vol 14 (1) ◽  
pp. e236773
Author(s):  
Kiran Kumar Naikoti ◽  
Raghuram Thonse

Very few case reports have been reported on traumatic separation of the bipartite patella along with quadriceps tendon rupture. These reports relate to separation of superolateral bipartite patella (Saupe type 3). We describe a new variant which to our knowledge has not been described or classified so far, which is purely a superior bipartite patella with traumatic separation and complete functional disruption of the extensor mechanism of the knee in a young patient working in the army which was managed with open reduction and internal fixation along with repair of the extensor mechanism of the knee achieving complete functional recovery.


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