title: Chronic patellar tendon rupture: surgical reconstruction technique using 2 Achilles tendon allografts.
abstract: Delayed reconstruction of chronic patellar tendon ruptures classically has yielded suboptimal results. Quadriceps contracture, distal patella mobilization, quadriceps lengthening (eg, V-Y lengthening), prolonged postoperative immobilization, residual quadriceps weakness, surgical macro failure, and loss of knee flexion are some of the complications associated with treatment for chronic patellar tendon rupture. Reinforcement hardware (eg, cerclage wire) may necessitate subsequent removal and the possibility of breaking with migration through the body. This article details the use and short-term success of a surgical technique using 2 Achilles tendon allografts for reconstruction of a chronic patellar tendon rupture.
authors.affiliation: Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, 1725 W Harrison St, Ste 1063, Chicago, IL 60612, USA.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Lewis
authors.forename: John-Paul
authors.initials: JP
authors.lastname: Rue
authors.forename: Bernard R
authors.initials: BR
authors.lastname: Bach
mesh_terms: D000125:Achilles Tendon / Q000637:transplantation*; D000328:Adult; D002908:Chronic Disease; D006801:Humans; D008297:Male; D017847:Patellar Ligament / Q000293:injuries*; D012421:Rupture / Q000601:surgery; D013708:Tendon Injuries / Q000601:surgery*