Treatment outcome of chronic patellar tendon rupture using autogenous semitendinosus graft: a retrospective case series.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
Read More Add to Saved list
  • Additional Information
    • Source:
      Publisher: Springer-Verlag France Country of Publication: France NLM ID: 9518037 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1068 (Electronic) Linking ISSN: 16338065 NLM ISO Abbreviation: Eur J Orthop Surg Traumatol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Paris : Springer-Verlag France
    • Subject Terms:
      Patellar Ligament*/surgery ; Patellar Ligament*/injuries ; Range of Motion, Articular* ; Tendon Injuries*/surgery ; Hamstring Tendons*/transplantation; Humans ; Adult ; Retrospective Studies ; Male ; Rupture/surgery ; Female ; Treatment Outcome ; Chronic Disease ; Plastic Surgery Procedures/methods ; Knee Injuries/surgery ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Transplantation, Autologous/methods ; Autografts
    • Abstract:
      Purpose: This study highlights the pattern of presentation, treatment, early functional outcome, and complications observed in the management of chronic patellar tendon ruptures using our preferred technique of autogenous semitendinosus graft reconstruction.
      Methods: This was a retrospective case series involving consecutive patients who underwent patellar tendon reconstruction and met the inclusion criteria. The outcome measures were determined by the post-operative knee range of motion (R.O.M), the post-operative International Knee Documentation Committee (IKDC) score, and pattern of post-operative complications.
      Results: Nine patients were included in this case series. The mean age of the patients was 35.4 ± 6.8 years (range 27-44 years). Trauma to the knee accounted for majority of the cases (62.5%). Six (66.7%) of the nine patients suffered a patellar tendon rupture from contact injury during sporting activities. The mean length of time from injury to presentation was 20.5 ± 11.2 weeks (range 6-69.5 weeks). Normal knee function in a case (11.1%), nearly normal knee function in 7 cases (77.8%), and abnormal knee function in a case (11.1%) were recorded as a measure of outcome of surgery. The mean post-operative IKDC score was 70.0 ± 6.1 (range 55-77), which was higher than the mean pre-operative score of 26.4 ± 5.1 (range 18-32). The post-operative knee R.O.M averaged 97.2 ± 16.2° (range 70-120°) with a single case with a 10° extension lag noted.
      Conclusion: Normal to near-normal knee function was obtained with the treatment of chronic patellar tendon rupture in the majority of cases using autogenous semitendinosus graft for patellar tendon reconstruction in our series.
      (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
    • References:
      Bek D, Demiralp B, Kömürcü M, Sehirlioğlu A (2008) Neglected patellar tendon rupture: a case of reconstruction without quadriceps lengthening. J Orthop Traumatol 9(01):39–42. (PMID: 10.1007/s10195-008-0103-6193844802656975)
      Van der Bracht H, Verdonk R, Stuyts B (2009) Augmentation of a patellar tendon repair with an autologous graft. Acta Orthop Belg 75:417–419. (PMID: 19681332)
      Harato K, Kobayashi S, Udagawa K, Iwama Y, Masumoto K, Enomoto H, Niki Y (2017) Surgical technique to bring down the patellar height and to reconstruct the tendon for chronic patellar tendon rupture. Arthrosc Tech 6(5):e1897–e1901. https://doi.org/10.1016/j.eats.2017.07.015. (PMID: 10.1016/j.eats.2017.07.015294303925799493)
      Sundararajan SR, Srikanth KP, Rajasekaran S (2013) Neglected patellar tendon ruptures: a simple modified reconstruction using hamstrings tendon graft. Int Orthop 37(11):2159–2164. https://doi.org/10.1007/s00264-013-2112-1. (PMID: 10.1007/s00264-013-2112-1240815113824889)
      Rosso F, Cottino U, Bonasia DE, Bruzzone M, Dettoni F, Rossi R (2016) Patellar tendon rupture. Arthrosc Sport Inj. https://doi.org/10.1007/978-3-319-14815-1_12. (PMID: 10.1007/978-3-319-14815-1_12)
      Nguene-Nyemb AG, Huten D, Ropars M (2011) Chronic patellar tendon rupture reconstruction with a semitendinosus autograft. Orthop Traumatol Surg Res 97(04):447–450. (PMID: 10.1016/j.otsr.2011.01.01521596640)
      Valianatos P, Papadakou E, Erginoussakis D, Kampras D, Schizas N, Kouzoupis A (2020) Treatment of chronic patellar tendon rupture with hamstrings tendon autograft. J Knee Surg 33(08):792–797. https://doi.org/10.1055/s-0039-1688499. (PMID: 10.1055/s-0039-168849931067593)
      Van der Zwaal P, Van Arkel ERA (2007) Recurrent patellar tendon rupture: reconstruction using ipsilateral gracilis and semitendinosus tendon autografts. Injury 38:320–323.
      Temponi EF, Camelo N, Tuteja S et al (2017) Reconstruction of chronic patellar tendon rupture with contralateral bone tendon-bone autograft. Knee Surg Sports Traumatol Arthrosc 25:2468–2473. (PMID: 10.1007/s00167-015-3951-726713328)
      Keyhani S, Movahedinia M, Amouzadeh F, Ghanbari N (2023) Achilles tendon-bone allograft is advantageous for chronic patellar tendon ruptures using a modified fixation technique. Tech Orthop 38(1):10–14. (PMID: 10.1097/BTO.0000000000000595)
      Naguib AM, Sefton GK (2006) Recurrent bilateral rupture of the patellar tendons: tendon replacement using polyester connective tissue prosthesis. Injury 37(10):379–382. https://doi.org/10.1016/j.injury.2006.03.024. (PMID: 10.1016/j.injury.2006.03.024)
      Hefti F, Müller W, Jakob RP, Stäubli HU (1993) Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc 1:226–234. (PMID: 10.1007/BF015602158536037)
      Abdel-Aziz A, Abdelrazek BHMZ, Waly MR, Abdel-Aziz MA, Sheriff MMSED (2020) Technique for fixation of semitendinosus to the patella in patellar tendon reconstruction. Arthrosc Tech 9(12):e1943–e1949. https://doi.org/10.1016/j.eats.2020.08.034. (PMID: 10.1016/j.eats.2020.08.034333814047768288)
      Hahn AK, Coladonato C, Corvi JJ et al (2023) Outcomes and complications following chronic patellar tendon repair: a systematic review. Cureus 15(7):e41713. https://doi.org/10.7759/cureus.41713. (PMID: 10.7759/cureus.417133757579010414687)
      Maffulli N, Del Buono A, Loppini M, Denaro V (2013) Ipsilateral hamstring tendon graft reconstruction for chronic patellar tendon ruptures: average 5.8 year follow-up. J Bone Joint Surg Am. https://doi.org/10.2106/JBJS.L.01462. (PMID: 10.2106/JBJS.L.0146224005207)
      Kannus P, Natri A (1997) Etiology and pathophysiology of tendon ruptures in sports. Scand J Med Sci Sports 7(2):107–112. (PMID: 10.1111/j.1600-0838.1997.tb00126.x9211611)
      Kapoor RK, Malhotra R, Bhan S (2005) Traumatic bifocal avulsion of the patellar tendon. Injury Extra 36(5):115–117. (PMID: 10.1016/j.injury.2004.09.027)
      Abang IE, Asuquo J, Ngim NE, Ikpeme IA, Agweye P, Urom SE, Anisi C, Mpama E (2016) Reasons for patronage of traditional bone setters. Niger J Surg 22(2):1–5. (PMID: 10.4103/1117-6806.188993)
      Kim WT, Kao D, O’Connell R, Patel NK, Vap A (2022) Clinical outcomes are similar between graft types used in chronic patellar tendon reconstruction: a systematic review. J Arthrosc Sports Med Rehabilit 4(5):e1861–e1872. https://doi.org/10.1016/j.asmr.2022.06.007. (PMID: 10.1016/j.asmr.2022.06.007)
      Friedman JM, You JS, Hodax JD, Aung MS, Feeley BT et al (2020) Patellar tendon reconstruction with hamstring autograft for the treatment of chronic irreparable patellar tendon injuries. Knee 27(6):1841–1847. (PMID: 10.1016/j.knee.2020.09.00233197824)
      Murerwa M, Oburu EO (2022) Chronic patella tendon rupture repair using autologous emitendinosus and gracillis tendons with preserved distal attachment. East African Orthop J 16(1):30–37.
      Leo BM, Krill MK (2019) Patellar tendon reconstruction utilizing autograft hamstring: a docking technique for the sports medicine surgeon. J Orthop Surg Tech 2(1):68–77.
      Ecker ML, Lotke PA, Glazer RM (1979) Late reconstruction of the patellar tendon. J Bone Joint Surg Am 61(6A):884–886. (PMID: 10.2106/00004623-197961060-00013479234)
      Kumar MD (2021) Chronic patellar tendon rupture reconstructed with hamstring graft—a case report. J Pharm Res Int 33(59B):630–636. (PMID: 10.9734/jpri/2021/v33i59B34425)
    • Contributed Indexing:
      Keywords: Autogenous graft; Chronic patellar tendon rupture; Hamstring; Semitendinosus graft
    • Publication Date:
      Date Created: 20240801 Date Completed: 20240906 Latest Revision: 20240906
    • Publication Date:
      20240906
    • Accession Number:
      10.1007/s00590-024-04044-z
    • Accession Number:
      39090288