Ellanti Prasad, Moriarty Andrew, Nagle Matthew, McCarthy Tom
Department of Trauma & Orthopaedics, St James' University Hospital, Dublin, Ireland.
Muscles Ligaments Tendons J. 2016 Sep 17;6(2):224-227. doi: 10.11138/mltj/2016.6.2.224. eCollection 2016 Apr-Jun.
Quadriceps tendon (QT) ruptures are uncommon and mostly occur in those who are 50-60 years of age. Timely surgical repair can result in a good functional outcome, however, little is known about the outcome in the older patient.
A retrospective review of all QT ruptures between 2009 and 2014 was conducted. Patients over the age of 80 were included. Those with penetrating trauma or partial ruptures were excluded. A chart review was undertaken to gather demographic and operative details. The patients were contacted by phone or by mail to have Lysholm and Rougraff scores completed.
Of the 32 QT ruptures identified, 6 (19%) patients were eligible for inclusion in our study. They were predominantly (83%) males with a mean age of 81.38 years. The mean follow up was 54 months. The mean Lysholm score at last follow up was 84.8/100, which falls within the range of a good outcome. The mean Rougraff score was 21.3/25, which is an excellent outcome. All patients felt they were close to their premorbid level of mobility.
Good outcomes can be expected with QT repair in older patients, resulting in restoration of the pre-injury level of mobility. Level of evidence: Level V case series.
股四头肌肌腱（QT）断裂并不常见，主要发生在50至60岁的人群中。及时进行手术修复可带来良好的功能结果，然而，对于老年患者的手术结果知之甚少。
对2009年至2014年间所有的QT断裂病例进行回顾性研究。纳入80岁以上的患者。排除穿透性创伤或部分断裂的患者。通过查阅病历收集人口统计学和手术细节。通过电话或邮件联系患者以完成Lysholm和Rougraff评分。
在32例确诊的QT断裂病例中，6例（19%）患者符合纳入本研究的条件。他们主要为男性（83%），平均年龄为81.38岁。平均随访时间为54个月。最后一次随访时的平均Lysholm评分为84.8/100，属于良好结果的范围。平均Rougraff评分为21.3/25，属于优秀结果。所有患者均感觉他们接近病前的活动水平。
老年患者QT修复可预期获得良好结果，能恢复伤前的活动水平。证据等级：V级病例系列。
