Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Orthopaedic Surgery, University Hospital Heidelberg, Heidelberg, Germany.
JBJS Case Connect. 2024 Jan 19;14(1). doi: 10.2106/JBJS.CC.23.00493. eCollection 2024 Jan 1.
A 29-year-old man sustained a bilateral acute patellar tendon rupture (PTR) while jumping on a trampoline. He was initially treated with bilateral transosseous patellar tendon repairs. Bilateral rerupture occurred during a fall 10 weeks after. He subsequently underwent staged bilateral patellar tendon reconstructions using an Achilles tendon allograft. At 3-year follow-up, he has maintained full range of motion and leg strength without rerupture or other complications.
The use of Achilles tendon allograft in the presence of inadequate and poor-quality tendon tissue for reconstruction of the patellar tendon in the revision setting is a viable and effective treatment option.
一名 29 岁男性在蹦床上跳跃时双侧发生急性髌腱断裂（PTR）。他最初接受了双侧经骨髌腱修复治疗。双侧髌腱在 10 周后再次断裂。随后，他接受了分期双侧髌腱重建手术，使用跟腱同种异体移植物。随访 3 年，他保持了完全的关节活动度和腿部力量，没有再次断裂或其他并发症。
在需要重建的情况下，当存在组织不足和质量差的髌腱时，使用跟腱同种异体移植物是一种可行且有效的治疗选择。
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