Ramanath Sharath Kittanakere, Shah Rahul Hemant, Patil Sandesh, Umesh Shreyas
Department of Orthopaedics, Ramaiah Medical College and Hospitals, Bengaluru, Karnataka, India.
Department of Orthopaedics, Bharatratna Dr. Babasaheb Ambedkar Hospital, Mumbai, Maharashtra, India.
J Orthop Case Rep. 2020 Aug-Sep;10(5):27-29. doi: 10.13107/jocr.2020.v10.i05.1824.
Neglected patellar tendon ruptures are uncommon. They are challenging due to the proximal migration of patella and soft-tissue contractures. They are usually managed with autografts or allografts with or without synthetic augmentation, and fixation is done using metallic implants.
A 59-year-old farmer presented with an inability to straighten his knee for 6 months after sustaining a cut lacerated wound with a sickle. He was diagnosed with a patellar tendon rupture. Tendoachilles' allograft reconstruction was done by creating transosseous tunnels in the patella and tibial tuberosity with a figure of 8 con figurations of the final construct. Synthetic augmentation and metallic implants were not used. Excellent clinical and radiological results were achieved at 3 years' follow-up.
Chronic patellar tendon ruptures can be managed using allograft without the need for synthetic augmentation or fixation with implants. This gives excellent clinical and radiological results.
被忽视的髌腱断裂并不常见。由于髌骨近端移位和软组织挛缩，此类损伤具有挑战性。通常采用自体移植物或同种异体移植物进行治疗，可使用或不使用合成材料增强，并用金属植入物进行固定。
一名59岁农民在用镰刀割伤后，膝关节无法伸直达6个月。他被诊断为髌腱断裂。通过在髌骨和胫骨结节上创建经骨隧道，采用8字构型进行跟腱同种异体移植重建，未使用合成材料增强和金属植入物。随访3年时获得了优异的临床和影像学结果。
慢性髌腱断裂可采用同种异体移植治疗，无需合成材料增强或植入物固定。这能带来优异的临床和影像学结果。
