Case Presentation: Re-revision Quad Tendon Repair and Vastus Advancement

Background: The quadriceps tendon is crucial in allowing knee extension, attaching distally to the patella. While ruptures of are rare, retear can lead muscle atrophy and complex deficits with retraction which may make revision repairs difficult perform. To avoid re-rupture, repair commonly augmented an allograft or autograft, theoretically strengthening repair. Indications: Patients indicated for surgery when presenting a chronic, symptomatic rupture verified on provocative testing advanced imaging. Technique Description: Adhesions fibrotic tissues around vastus muscles released. Sutures anchor materials from previous reconstruction removed. Fibrotic at distal end retracted quad then loosened proximal aspect applied traction through suspension suture placed tendon. gap measured V-Y quadricepsplasty was performed twice length gap. In tendon, limbs V-plasty left incomplete. Next, allow tightening exertion Y limb sutured together side-to-side fashion distalization while retaining patellar medial lateral were closed suture, completing advancement. superior pole patella removed prepare reattachment. Two anchors sides placed, threads both tied Krackow configuration. lateral-sided knots over covered again Achilles allograft, Results: Outcomes have been promising, good excellent functional outcomes, successful return activities, objective outcomes. Discussion/Conclusion: Although initial studies report favorable outcomes following current techniques, there lack quality literature primary Future necessary determine reliability, efficacy, clinical this procedure. Patient Consent Disclosure Statement: author(s) attests that consent has obtained any patient(s) appearing publication. If individual be identifiable, included statement release other written form approval submission