Puranik Gururaj S, Faraj Adnan
Airedale General Hospital, Airedale, United Kingdom.
Acta Orthop Belg. 2006 Apr;72(2):176-8.
Complete rupture of the quadriceps tendon is a well-described injury. There is a scarcity of literature relating to the outcome of patients with this injury after surgery. We undertook a retrospective analysis of patients who had surgical repair of their quadriceps tendon at our institution over a 13-year period, totalling 21 patients. Males were more commonly affected, with a male/female ratio of 4:1. The peak incidence was in the sixth decade of life. Assessment consisted of the completion of a functional knee questionnaire and a clinical examination. Symptomatic outcome following surgical repair was good with a mean symptom score generated of 19.16 out of a maximum of 25 using the Rougraff et al scoring system. Most of the patients returned to their pre-injury level of activity. Five degrees deficit and extension lag was present in three patients; these patients had the quadriceps repaired using transosseous sutures. Patients who had direct repair of the tendon using the Bunnell technique had lower Rougraff scores than the rest.
股四头肌肌腱完全断裂是一种已被充分描述的损伤。关于此类损伤患者术后预后的文献较少。我们对在我们机构进行股四头肌肌腱手术修复的患者进行了为期13年的回顾性分析，共有21例患者。男性更常受累，男女比例为4:1。发病高峰在60岁年龄段。评估包括完成膝关节功能问卷和临床检查。使用Rougraff等人的评分系统，手术修复后的症状性结果良好，平均症状评分为19.16（满分25分）。大多数患者恢复到受伤前的活动水平。3例患者存在5度的肌力减弱和伸展滞后；这些患者采用经骨缝合修复股四头肌。采用Bunnell技术直接修复肌腱的患者Rougraff评分低于其他患者。
