A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report.
Neglected tears of the patellar tendon due to loss of active extension remain a difficult therapeutic endeavor. The goals in the approach to this diagnosis include restoration of both structural and functional integrity of the extensor mechanism. A procedure has been developed utilizing Z-shortening of the patellar tendon, Z-lengthening of the quadriceps tendon, and the semitendinosis gracilis as a biologic splint. This technique allows establishment of preoperative goals, including restoration of the muscle-tendon complex in its anatomic position, restoration of quadriceps function, preservation of vascularity of the reconstructed tendon, and splinting of the patellar tendon. This reconstruction allows early mobilization and rehabilitation.
Mandelbaum
B R
BR
UCLA School of Medicine, Division of Orthopaedic Surgery 90024.
Bartolozzi
A
A
Carney
B
B
D000328:Adult; D006801:Humans; D008297:Male; D010329:Patella; D013708:Tendon Injuries / Q000601:surgery*; D013997:Time Factors