Gomes João Luiz Ellera, de Oliveira Alves Jairo André, Zimmermann José Mauro
Orthopedics. 2014 Aug;37(8):527-9. doi: 10.3928/01477447-20140728-04.
Several techniques using different grafts have been described for reconstruction of the patellar tendon after a neglected rupture. Retraction of the quadriceps tendon may compromise repair integrity due to progressive stretching of the graft. The authors present a surgical technique using the central one-third of the quadriceps tendon. This is supported by the fact that the resistance to traction of this segment of the quadriceps tendon equals that of a double-looped semitendinosus graft and that the harvesting of this specific graft promotes muscle inhibition, thus protecting the reconstruction during the recovery period.
对于陈旧性髌腱断裂后的重建，已经描述了几种使用不同移植物的技术。由于移植物的渐进性拉伸，股四头肌肌腱的回缩可能会损害修复的完整性。作者介绍了一种使用股四头肌肌腱中央三分之一的手术技术。这一技术的依据是，股四头肌肌腱这一部分的抗牵引能力与双环半腱肌移植物相当，并且获取这种特定移植物会促进肌肉抑制，从而在恢复期间保护重建效果。
