Patra Saroj Kumar, Nayak Manmatha, Patro Bishnu Prasad
Department of Trauma and Emergency, AIIMS, Bhubaneswar, Odisha, India.
J Orthop Case Rep. 2022 Nov;12(11):5-8. doi: 10.13107/jocr.2022.v12.i11.3392.
Patellar tendon rupture is a rare injury and is often missed in primary and secondary care centers because of non-visibility in X-rays. Neglected rupture is even rarer and gives rise to significant disability. These injuries are technically difficult to repair with invariably poor functional outcomes. This needs reconstruction with allograft or autograft with or without augmentation. We report such a case of neglected patellar tendon injury treated with peroneus longus autograft.
A 37-year-old male patient presented with limping and inability to do a full extension of the knee. There is a history of a lacerated wound over the knee following a bike accident. Reconstruction was done with peroneus longus auto graft by making a trans-osseous tunnel through the patella and tibial tuberosity in the Figure eight 8 manner and fixed by a suture anchor. Postoperatively, the patient was doing well at a 1-year follow-up.
Good clinical outcomes can be achieved in neglected patellar tendon rupture by auto graft without augmentation.
髌腱断裂是一种罕见的损伤，由于在X射线下不可见，在初级和二级护理中心常被漏诊。被忽视的断裂更为罕见，并会导致严重残疾。这些损伤在技术上难以修复，功能结果往往很差。这需要使用同种异体移植物或自体移植物进行重建，可伴有或不伴有增强。我们报告了一例用自体腓骨长肌治疗被忽视的髌腱损伤的病例。
一名37岁男性患者出现跛行且无法完全伸直膝关节。有自行车事故后膝关节处撕裂伤的病史。通过以“8”字形方式经髌骨和胫骨结节制作跨骨隧道，用自体腓骨长肌移植物进行重建，并通过缝线锚钉固定。术后，患者在1年随访时情况良好。
对于被忽视的髌腱断裂，不进行增强的自体移植物可取得良好的临床效果。
