title: Surgical Treatment for Failure of Repair of Patellar and Quadriceps Tendon Rupture With Ipsilateral Hamstring Tendon Graft.
abstract: Tears of the patellar and quadriceps tendon are common in the active population, especially in athletes. At present, several techniques for surgical repair and reconstruction are available. When reruptures occur, a reconstruction is mandatory. In the present paper, we describe a surgical technique for patellar and quadriceps tendon reconstruction using ipsilateral hamstring autograft. After routine hamstring tendon harvesting, the tendon ends are prepared using a whip stitch. A transverse tunnel is drilled in the midportion of the patella, the hamstring graft is passed through the patella, and firmly secured to the patellar tunnel openings with sutures. The details of the technique are fully described. Autologous ipsilateral hamstring tendon grafts provide a secure sound means to manage these challenging injuries.
authors.affiliation: *Department of Musculoskeletal Disorders, University of Salerno, Salerno ‡Campus Bio-Medico University of Rome, Rome, Italy †Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, UK.
authors.forename: Nicola
authors.initials: N
authors.lastname: Maffulli
authors.forename: Rocco
authors.initials: R
authors.lastname: Papalia
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Torre
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Denaro
mesh_terms: D000070632:Hamstring Tendons / Q000637:transplantation*; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D017847:Patellar Ligament / Q000293:injuries* / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods*; D013708:Tendon Injuries / Q000601:surgery*; D017211:Treatment Failure