title: Patellar tendon reconstruction with semitendinosus-gracilis autograft.
abstract: We present a case of a 24-year-old, otherwise healthy, man who sustained a right knee injury after a fall. A small, comminuted inferior pole patella fracture with medial and lateral retinacular tears was encountered that required a small, nonarticular partial patellectomy and patellar tendon repair. An uneventful postoperative course was complicated by a fall onto a flexed knee and rerupture of the patellar tendon at 3 months following surgery. Intraoperatively, a significant tissue void was seen in the area of the prior repair. The patellar tendon was reconstructed with semitendinosus and gracilis autograft. At 1 year follow-up, the patient had regained a normal gait, had no pain, and had full range-of-motion without extensor lag.
authors.affiliation: Sports Medicine Center, The Ohio State University, Columbus, Ohio.
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Harris
authors.affiliation: Department of Orthopaedics, United Hospital Center, Clarksburg, West Virginia.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Fazalare
authors.affiliation: Department of Orthopaedics, The Ohio State University, Columbus, Ohio.
authors.forename: Laura S
authors.initials: LS
authors.lastname: Phieffer
authors.affiliation: Sports Medicine Center, The Ohio State University, Columbus, Ohio.
authors.forename: David C
authors.initials: DC
authors.lastname: Flanigan
mesh_terms: D000058:Accidental Falls; D064592:Autografts; D018460:Fractures, Comminuted / Q000209:etiology / Q000601:surgery; D006801:Humans; D007718:Knee Injuries / Q000209:etiology / Q000601:surgery; D008297:Male; D010329:Patella / Q000293:injuries / Q000601:surgery; D017847:Patellar Ligament / Q000293:injuries* / Q000601:surgery*; D012008:Recurrence; D012421:Rupture; D013709:Tendon Transfer / Q000379:methods*; D055815:Young Adult