title: [Quadriceps and patellar tendon ruptures].
abstract: Ruptures of the quadriceps or patellar tendon are uncommon but extremely relevant injuries. Early diagnosis and surgical treatment with a stable suture construction are mandatory for a good postoperative clinical outcome. The standard methods of repair for quadriceps and patellar tendon injuries include the placement of suture loops through transpatellar tunnels. Reinforcement with either a wire cerclage or a PDS cord is used in patellar tendon repair. The PDS cord can also be applied as augmentation in quadriceps tendon repair. In secondary patellar tendon repair an autologous semitendinosus graft can be used. For chronic quadriceps tendon defects a V-shaped tendon flap with a distal footing is recommended. The different methods of repair should lead to early functional postoperative treatment. The clinical outcome after surgical treatment of patellar and quadriceps tendon ruptures is mainly good.
authors.affiliation: Klinik für Orthopädie, Unfall- und Handchirurgie, Klinikum Osnabrück, Am Finkenhügel 1, 49076 Osnabrück. casper.grim@klinikum-os.de
authors.forename: C
authors.initials: C
authors.lastname: Grim
authors.forename: O
authors.initials: O
authors.lastname: Lorbach
authors.forename: M
authors.initials: M
authors.lastname: Engelhardt
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001863:Bone Screws; D003646:Debridement; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D010329:Patella / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D017847:Patellar Ligament / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D052097:Quadriceps Muscle / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D012421:Rupture; D013537:Sutures; D013708:Tendon Injuries / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D053656:Tenodesis / Q000379:methods