Van der Bracht Hans, Verdonk René, Stuyts Bart
Department of Orthopaedic Surgery and Traumatology, Sint-Augustinus GZA Hospitals, Wilrijk, Belgium.
Acta Orthop Belg. 2009 Jun;75(3):417-9.
Patellar tendon ruptures are rare but very invalidating lesions. We describe a case of re-rupture of a sutured patellar tendon. An autologous semitendinosus graft was used for tendon augmentation in the reconstruction procedure. This technique uses an easy-to-harvest graft which has low donor site morbidity. Additionally, the strength of the graft allows early rehabilitation, and no further surgery for hardware removal is necessary. For these reasons we recommend this procedure for acute patellar tendon ruptures with a poor tissue quality or for revision surgery of the patellar tendon.
髌腱断裂虽罕见，但却是极具致残性的损伤。我们描述了一例缝合髌腱再断裂的病例。在重建手术中使用自体半腱肌移植物进行肌腱增强。该技术使用的移植物易于获取，供区并发症少。此外，移植物的强度允许早期康复，无需进一步手术取出内固定物。基于这些原因，我们推荐该手术用于组织质量差的急性髌腱断裂或髌腱翻修手术。
