Pocock C A J, Trikha S P, Bell J S P
Kingston Hospital, Galsworthy Road, Kingston-upon-Thames, Surrey KT2 7QB, UK.
Clin Orthop Relat Res. 2008 Jan;466(1):221-4. doi: 10.1007/s11999-007-0002-9. Epub 2008 Jan 3.
Rupture of the quadriceps tendon is an uncommon injury and rapid diagnosis is important because delay in surgical repair generally is believed to adversely affect outcome. One study of 20 patients suggests repair should be done during the first 48 to 72 hours postinjury to achieve a successful outcome and late repair led to unsatisfactory recovery. Cases of delayed tendon repair have been reported, the longest to our knowledge being 11 months before surgical intervention. We present a case of successful outcome of a quadriceps tendon rupture reconstructed at least 8 years after occurrence and a review of the literature of delayed reconstructions. We show that successful restoration of extensor mechanism function can be achieved several years after tendon rupture.
股四头肌肌腱断裂是一种罕见的损伤，快速诊断很重要，因为一般认为手术修复延迟会对治疗结果产生不利影响。一项针对20名患者的研究表明，应在受伤后的头48至72小时内进行修复，以取得成功的治疗结果，而延迟修复会导致恢复不理想。有关于肌腱修复延迟的病例报道，据我们所知，最长的是在手术干预前11个月。我们报告一例股四头肌肌腱断裂至少8年后重建并取得成功治疗结果的病例，并对延迟重建的文献进行综述。我们表明，肌腱断裂数年之后仍可成功恢复伸膝机制功能。
