title: Transosseous-Equivalent Repair for Distal Patellar Tendon Avulsion.
abstract: Extensor mechanism disruptions are relatively uncommon injuries involving injury to the quadriceps tendon, patella, or patellar tendon. Patellar tendon avulsions from the tibial tubercle in adults are rare; as such, little technical information has been written regarding surgical management of this injury in the adult. Transosseous-equivalent repairs have been described in the management of several types of tendon ruptures, including rotator cuff and distal triceps tendon ruptures, but not previously in patellar injuries. We present a technique for repairing an avulsion injury of the patellar tendon from the tibial tubercle using suture anchors in a transosseous-equivalent manner. This technique for treating distal patellar tendon avulsion injuries likely increases contact area at the repair site while potentially improving fixation strength.
authors.affiliation: NYU Hospital for Joint Diseases, New York, and Jamaica Hospital Medical Center, Queens, New York, U.S.A.
authors.forename: David K
authors.initials: DK
authors.lastname: Galos
authors.affiliation: NYU Hospital for Joint Diseases, New York, and Jamaica Hospital Medical Center, Queens, New York, U.S.A.
authors.forename: Sanjit R
authors.initials: SR
authors.lastname: Konda
authors.affiliation: NYU Hospital for Joint Diseases, New York, and Jamaica Hospital Medical Center, Queens, New York, U.S.A.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Kaplan
authors.affiliation: NYU Hospital for Joint Diseases, New York, and Jamaica Hospital Medical Center, Queens, New York, U.S.A.
authors.forename: William E
authors.initials: WE
authors.lastname: Ryan
authors.affiliation: NYU Hospital for Joint Diseases, New York, and Jamaica Hospital Medical Center, Queens, New York, U.S.A.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Alaia