An Alternative Technique for Repair of Patellar Ligament Ruptures with Associated Tibial Tuberosity Avulsion Fracture

Aniruddha Pendse,Ramesh Chennagiri,David Bruce,Raghubir Kankate

doi:10.17554/j.issn.2311-5106.2016.03.191

Aniruddha Pendse, Ramesh Chennagiri + Show 2 more

Open Access

https://doi.org/10.17554/j.issn.2311-5106.2016.03.191

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Abstract

We describe a case report of a patient who suffered dual injury to the patellar tendon insertion treated with an alternative technique for the repair of patellar ligament rupture with concomitant tibial tuberosity avulsion. These injuries are rare and there is no uniform technique, described to deal with this complex injury. In this report we describe an alternative technique which provides with secure fixation of the tendon allowing for early rehabilitation. It is simple and reproducible yet provides a robust fixation of the tendon injury allowing to restore the normal anatomical parameters. This technique avoids the need for neutralization box stitch to be passed through the quadriceps tendon, avoiding violation of intact tissue and large surgical wounds. To our knowledge, this method has not been previously described.

Highlights

Tibial tubercle avulsion fracture is an uncommon injury[1]
We describe a case report of a patient who suffered dual injury to the patellar tendon insertion treated with an alternative technique for the repair of patellar ligament rupture with concomitant tibial tuberosity avulsion
The mechanism of injury occurs with quadriceps contraction, initially avulsing the apophysis of the tibial tubercle followed by distal patellar ligament avulsion from sustained contraction[4]

Summary

Introduction

Tibial tubercle avulsion fracture is an uncommon injury[1]. Concomitant distal patellar tendon avulsions are even rarer and only 15 previous cases have been reported in the literature. We describe a case report of a patient who suffered dual injury to the patellar tendon insertion treated with an alternative technique for the repair of patellar ligament rupture with concomitant tibial tuberosity avulsion. In this report we describe an alternative technique which provides with secure fixation of the tendon allowing for early rehabilitation.

Results

Conclusion