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Surgical Treatment of Chronic Rupture of the Quadriceps Using a Modified Pulvertaft Weave Technique

2019; Elsevier BV; Volume: 8; Issue: 10 Linguagem: Inglês

10.1016/j.eats.2019.06.006

2212-6287

José Leonardo Rocha de Faria, Murilo Barroso de Matos, Hugo Alexandre de Araújo Barros Cobra, Naasson Cavanellas, Eduardo Branco de Sousa, João Maurício Barretto, João Matheus Guimarães,

Knee injuries and reconstruction techniques

The extensor mechanism provides active knee joint extension and stability of the patellofemoral joint. Rupture of the quadriceps tendon, although uncommon, is therefore associated with impairment in knee joint stability and, thus, requires surgical repair. Although various techniques provide excellent clinical outcomes for acute rupture, treatment of chronic rupture remains clinically challenging. We describe our modified technique for quadriceps tendon repair using a semitendinosus tendon autograft, with suturing of the quadriceps tendon stump to the patella via transosseous sutures, wherein the use of allograft and anchors is avoided. Our modified Pulvertaft weave technique is simple and reproducible.