Abstract
Neglected patella tendon rupture which are presented 6 weeks after injury are rare but it can be disabling. Aim of study is to determine the outcomes of chronic patellar tendon rupture reconstructed using hamstring graft.
 This case report concerns a 26 year-old man who came with complaints of weakness of legs, difficulty in climbing stairs up and down, difficulty in getting up from squatting position. X-ray of Right knee showed high riding patella. MRI showed full thickness rupture of ACL. The patient was operated with a combination of Chen et al and ganga hospital SR Sundararajan7. Our outcome was also excellent with no extensor lag, Kujala score was 94.1, Lysholm score was 92.3. From our study it is found that even in chronic neglected cases of patellar tendon rupture, good functional results can be obtained by repair using hamstring graft.
Highlights
Neglected patella tendon rupture which are presented 6 weeks after injury are rare but it can be disabling [1]
Parts painted and draped, patella was marked, and tibial tuberosity was marked (Fig. 1), a midline anterior incision was made, we found complete rupture and degeneration of the tendon (Fig. 2), ACL ruptured end was visualised (Fig. 3)
Gracilis was passed from same side to upper tunnel of patella, semi tendinosis was passed in opposite side of lower tunnel (Fig. 6) was brought out to like “ Fig. of 8” fashion within the tibial tunnel, both semi tendinosis and gracilis was sutured with 2-0 ethibond to complete the tendon reconstruction (Fig. 7,8)
Summary
Neglected patella tendon rupture which are presented 6 weeks after injury are rare but it can be disabling [1]. It occurs usually beneath the inferior pole of patella in younger population during sport related activities [2,3,4,5]. Patients are usually would have undergone native splinting. They are usually tough to repair [3,6]. Neglected cases of Patellar tendon rupture are rare. Objective of this case study is to determine the outcomes of chronic patellar tendon rupture which is repaired using hamstring graft
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