title: Neglected bilateral rupture of the patellar tendon: A case report.
abstract: Simultaneous bilateral rupture of the patellar tendon (PT) is extremely rare and is generally associated to some chronic diseases. When the rupture becomes chronic, it is more difficult to repair that as it remained untreated. The diagnosis, which is clinical, is often delayed, guided by standard radiography and confirmed by ultrasound or MRI. The management of a bilateral neglected, chronic patellar tendon rupture must address some serious difficulties: the proximally retracted patella, the reconstruction of the patellar tendon, finally, the temporary protection of this repair. We report a case of neglected bilateral rupture of the patellar tendon in a chronic hemodialysis patient, treated with a plastic surgery of the ipsilateral quadriceps tendon.
authors.affiliation: Resident in Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Moulay Ismail (HMMI), BP 50000, Meknes, Morocco.
authors.forename: Taoufik
authors.initials: T
authors.lastname: Cherrad
authors.affiliation: Assistant Professor in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
authors.forename: Jamal
authors.initials: J
authors.lastname: Louaste
authors.affiliation: Assistant Professor in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
authors.forename: El Houcine
authors.initials: el H
authors.lastname: Kasmaoui
authors.affiliation: Resident in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
authors.forename: Hicham
authors.initials: H
authors.lastname: Bousbaä
authors.affiliation: Professor Head of the Department of Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
authors.forename: Khaled
authors.initials: K
authors.lastname: Rachid
keywords: Chronic rupture; Haemodialysis; Patellar tendon