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Neglected bilateral rupture of the patellar tendon: A case report
Authors:Taoufik Cherrad  Jamal Louaste  El Houcine Kasmaoui  Hicham Bousba?  Khaled Rachid
Institution:aResident in Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Moulay Ismail (HMMI), BP 50000, Meknes, Morocco;bAssistant Professor in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco;cResident in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco;dProfessor Head of the Department of Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco
Abstract:Simultaneous bilateral rupture of the patellar tendon (PT) is extremely rare and is generally associated to some chronic diseases. When the rupture becomes chronic, it is more difficult to repair that as it remained untreated.The diagnosis, which is clinical, is often delayed, guided by standard radiography and confirmed by ultrasound or MRI.The management of a bilateral neglected, chronic patellar tendon rupture must address some serious difficulties: the proximally retracted patella, the reconstruction of the patellar tendon, finally, the temporary protection of this repair.We report a case of neglected bilateral rupture of the patellar tendon in a chronic hemodialysis patient, treated with a plastic surgery of the ipsilateral quadriceps tendon.
Keywords:Patellar tendon  Chronic rupture  Haemodialysis
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