title: Late patellar tendon ruptures after removal of the central third for anterior cruciate ligament reconstruction. A report of two cases.
abstract: Patellar tendon rupture after removal of the central third for ACL reconstruction is a rare complication. Only nine cases have been previously reported, and all of these occurred within the first 10 months after surgery. We report two cases of late patellar tendon ruptures occurring at more than 3 and 6 years, respectively, after surgery. A review of the literature has suggested but not conclusively supported that devascularization, an alteration in tendon healing and remodeling, or injury to the remaining tendon at the time of graft harvest may be possible causes of this rare complication. Biopsy tissue from any future patellar tendon ruptures after removal of its central third could contribute to a better understanding of this anomaly.
authors.affiliation: Division of Orthopaedic Surgery, University of Hawaii, Honolulu 96813, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Marumoto
authors.forename: M M
authors.initials: MM
authors.lastname: Mitsunaga
authors.forename: A B
authors.initials: AB
authors.lastname: Richardson
authors.forename: R J
authors.initials: RJ
authors.lastname: Medoff
authors.forename: G W
authors.initials: GW
authors.lastname: Mayfield
mesh_terms: D000293:Adolescent; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D001706:Biopsy; D005260:Female; D006173:Gymnastics / Q000293:injuries; D006801:Humans; D008297:Male; D017847:Patellar Ligament / Q000098:blood supply / Q000293:injuries* / Q000637:transplantation; D011183:Postoperative Complications; D012421:Rupture; D012916:Soccer / Q000293:injuries; D014182:Transplantation, Autologous; D014945:Wound Healing