Abstract

BackgroundAcute bilateral patellar tendon rupture is a rare occurrence, with only 1 case reported in the English literature of a young, fit athlete with no regular medications. To our knowledge this is the first such case reported using a LARS reconstruction.Case presentationA 26-year-old otherwise well ex-olympic gymnast with bilateral acute on chronic patellar tendon rupture underwent reconstruction using LARS ligaments. At four years post-operatively he has maintained full range of motion and strength, without re-rupture or any evidence of synovitis.ConclusionThe use of LARS ligament for reconstruction of the patellar tendon is a viable and effective option for rupture. It avoids donor site morbidity associated with autograft. Reconstruction of both patellar tendons simultaneously in a young, elite-level athlete has not previously been reported in the English-language literature.

Highlights

  • Acute bilateral patellar tendon rupture is a rare occurrence, with only 1 case reported in the English literature of a young, fit athlete with no regular medications

  • Large tendinous rupture has commonly been reported in the context of systemic diseases such as diabetes mellitus, rheumatoid arthritis, lupus erythematosus, end stage renal disease and hyperparathyroidism [5,6,7,8]

  • Our aim is to present a case of bilateral patellar tendon rupture in a 26 year old gymnast which was repaired simultaneously with Ligament Augmentation Reconstruction System (LARS) ligaments

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Summary

Background

Bilateral patellar tendon rupture is an extremely rare occurrence, with only 50 cases present in the reported literature. Our aim is to present a case of bilateral patellar tendon rupture in a 26 year old gymnast which was repaired simultaneously with Ligament Augmentation Reconstruction System (LARS) ligaments. This is an extremely rare condition and to our knowledge this is the first case in the reported literature repaired using LARS ligaments. At four years post-operatively, the patient is running a gymnastics club and actively coaching young gymnasts He still experiences mild discomfort on descending stairs if carrying heavy loads but is otherwise painfree. Physical examination demonstrates well healed scars, no ligamentous instability or pain on palpation of the patellar tendon and bilateral ROM from 0-130° (Fig. 5)

Discussion
Conclusions

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