Chagar B, Boussouga M, Lazrak K-H, Taobane H
Service de Traumatologie-Orthopédie I, Hôpital militaire Mohammed V, Hay Riyad, Rabat, Maroc.
Rev Chir Orthop Reparatrice Appar Mot. 2003 Dec;89(8):733-7.
A patient taking corticosteroids for rheumatoid arthritis experienced a spontaneous bilateral rupture of the patellar tendon. Initially neglected, the rupture was repaired surgically by tendinoplasty using the semitendinous tendon for the right knee and inversion of the quadriceps tendon for the left. Functional results were similar. On the right knee, the wire cerclage loosened leading to posterior sagittal displacement of the patella, pointing out the difficulties encountered when repairing neglected rupture of the patellar tendon. Due to the small number of cases and difficulties in assessing the techniques proposed, no large-scale series has been reported in the literature.
一名类风湿关节炎患者服用皮质类固醇后发生双侧髌腱自发性断裂。起初未被重视，右侧膝关节通过使用半腱肌腱进行腱成形术修复断裂，左侧膝关节通过股四头肌肌腱翻转修复。功能结果相似。右侧膝关节的钢丝环扎松动，导致髌骨后矢状位移位，指出了修复被忽视的髌腱断裂时遇到的困难。由于病例数量少且评估所提出技术存在困难，文献中尚未报道大规模系列病例。
