title: Reconstruction of patellar tendon rupture after anterior cruciate ligament reconstruction: a case report.
abstract: Patellar tendon rupture following use of its central third for anterior cruciate ligament (ACL) reconstruction is a rare disabling injury that is technically difficult to repair. We report one case of patellar tendon rupture after harvesting the mid-third for ACL reconstruction. A number of different surgical methods exist for reconstructing patellar tendon ruptures. Here we report a case using a bone-tendon-bone (BTB) allograft, followed by a multiple-wire loop reinforcement with no postoperative immobilisation. One year after operation, our patient had regained full knee extension and flexion. Insall Salvati index on the operated side was identical to the uninjured side. The patient had good quadriceps strength, and isokinetic muscle testing showed no deficit in his right leg. He was able to return to professional handball without limitation.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Clinical Center Vojvodina, Medical School, University of Novi Sad Hajduk Veljkova 1, 21 000 Novi Sad, Serbia. milankom@eunet.yu
authors.forename: Miroslav
authors.initials: M
authors.lastname: Milankov Ziva
authors.forename: Robert
authors.initials: R
authors.lastname: Semnic
authors.forename: Natasa
authors.initials: N
authors.lastname: Miljković
authors.forename: Vladimir
authors.initials: V
authors.lastname: Harhaji
mesh_terms: D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D017847:Patellar Ligament / Q000293:injuries* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012086:Reoperation; D012421:Rupture