Neglected patellar tendon rupture: a case of reconstruction without quadriceps lengthening |
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Authors: | D Bek B Demiralp M Kömürcü A ?ehirlio?lu |
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Institution: | (1) Department of Orthopaedics and Traumatology, Gülhane Military Medical Academy, 06018 Ankara, Turkey |
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Abstract: | Neglected rupture of the patellar tendon is a rare, can be easily missed in a group of patients. We present a 24 year old,
male patient who sustained right femoral diaphyseal and tibial plateau fractures and a patellar tendon rupture following a
motor vehicle accident. The fractures were treated by open reduction internal fixation but the patellar tendon rupture was
missed and the diagnosis was delayed by 7 months. Patella was migrated proximally. It was moved distally to the original location
and neglected patellar tendon rupture treated successfully with modified Ecker technique. Neither preoperative traction nor
additional intraoperative procedures were performed to relocate the patella to its anatomic position in the extended knee
and good functional result was achieved with intensive rehabilitation. |
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Keywords: | Neglected patellar tendon rupture Late surgical repair Sequential bracing |
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