Neglected or chronic ruptures of the patellar tendon are defined as ruptures presenting after 6 weeks. Late presentation is often due to neglect or missed diagnosis. With chronic ruptures, the patient presents with weakness, instability, and pain. Management of patients with chronic ruptures is difficult due to adhesions, proximal patellar migration, contracture, and quadriceps muscle atrophy. ...

Neglected or chronic ruptures of the patellar tendon are defined as ruptures presenting after 6 weeks. Late presentation is often due to neglect or missed diagnosis. With chronic ruptures, the patient presents with weakness, instability, and pain. Management of patients with chronic ruptures is difficult due to adhesions, proximal patellar migration, contracture, and quadriceps muscle atrophy. ...

OBJECTIVE To evaluate the efficacy of ultrasound guided dry needling and autologous blood injection for the treatment of patellar tendinosis. DESIGN Prospective cohort study. SETTING Hospital/clinic based. PATIENTS 47 knees in 44 patients (40 men, 7 women, mean age 34.5 years, age range 17 to 54 years) with refractory tendinosis underwent sonographic examination of the patellar tendon fol...

BACKGROUND The autograft preparation process for anterior cruciate ligament reconstruction has a potential for graft contamination. The purpose of this study was to evaluate the possibility of contamination of the bone-patellar tendon-bone and hamstring tendon autograft during preparation for anterior cruciate ligament reconstruction. METHODS A primary isolated reconstruction of the anterior ...

The authors report a case of a 47-year-old professional driver with an acute, simultaneous tear of patellar tendon and anterior cruciate ligament (ACL). The patient was treated in two stages. Acute patellar tendon repair and delayed (6-month postinjury) ACL reconstruction was performed. The authors discuss the possible mechanism of injury and the rationality of the two-stage surgical treatment.

Bilateral rupture of the patellar tendon is a rare injury. A case of a 67-year-old man with systemic lupus erythematosus under corticosteroid treatment for the last 10 years, who sustained spontaneous rupture of the patellar tendon and the contralateral quadriceps tendon, is herein presented. The patient was operated bilaterally, had an optimal outcome considering his age and the comorbidities,...

disease, either singly or together, seem to provide suitable conditions for rupture. As yet it is impossible to predict which patients with SLE will develop this problem, and still unknown whether a recent exacerbation of SLE disposes tendons to rupture. Patellar tendon rupture is increasingly recognized, with many spontaneous ruptures in patients with SLE reported. Bilateral patellar and simul...

BACKGROUND In severe injuries with loss of tendon substance a tendon graft or a synthetic substitute is usually used to restore functional length. This is usually associated with donor site morbidity, host tissue reactions and lack of remodelling of the synthetic substitutes, which may result in suboptimal outcome. A biocompatible graft with mechanical and structural properties that replicate t...