title: Patellar tendon rerupture in a footballer: our personal surgical technique and review of the literature.
abstract: Patellar tendon rerupture is a relatively uncommon condition that severely compromises the function of the extensor mechanism of the knee. Few cases described in the literature does not show a unique mode of treatment for this type of lesion. We report the case of a young athlete with traumatic patellar tendon rerupture. The first rupture was treated with the use of Statak anchors. Following a second rerupture incident as a result of a sporting accodent, the tendon was reconstructed with the use of an autologous graft tendon of semitendinosus and biological augmentation with gracilis tendon. For both tendons the distal insertion part was preserved to facilitate the healing process. The treatment was completed with the application of a neutralization cerclage wire and with local injection of plateket reach plasma (PRP). At 12 months follow up, a full recovery of the structure and function of the extensor mechanism was observed and the patient was able to resume normal sports competitive activity.
authors: Department of Neuroscience and Organs of Sense, Orthopedic Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
authors: L
authors: L
authors: Moretti
authors: Department of Neuroscience and Organs of Sense, Orthopedic Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy. Electronic address: dott.gvicenti@gmail.com.
authors: G
authors: G
authors: Vicenti
authors: Department of Neuroscience and Organs of Sense, Orthopedic Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
authors: A
authors: A
authors: Abate
authors: Department of Neuroscience and Organs of Sense, Orthopedic Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
authors: V
authors: V
authors: Pesce
authors: Department of Neuroscience and Organs of Sense, Orthopedic Section, Faculty of Medicine and Surgery, University of Bari, Bari, Italy.
authors: B
authors: B
authors: Moretti
mesh_terms: D000328:Adult; D001265:Athletic Injuries; D005260:Female; D005538:Football; D006801:Humans; D036341:Intercellular Signaling Peptides and Proteins / Q000627:therapeutic use*; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008297:Male; D019637:Orthopedic Procedures; D017847:Patellar Ligament / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012008:Recurrence; D012421:Rupture; D013710:Tendons / Q000601:surgery* / Q000637:transplantation; D014945:Wound Healing
chemical_list: D036341:Intercellular Signaling Peptides and Proteins
keywords: Gracilis; Growth factors; Patellar tendon; Rerupture; Semitendinosus; Surgical revision; knee