Abstract
To report asurgical technique for the treatment of patellar tendon ruptures augmented with an internal brace suture tape. Acute patellar tendon ruptures, fractures of the distal patellar pole, chronic insufficiency of the patellar tendon or revision surgery for failed repairs. Severe damage to the surrounding soft tissue. Local infection. Life-threatening conditions. Direct longitudinal anterior approach to the patellar tendon. Two parallel transosseous bone tunnels are drilled in the patella and tibial tuberosity with a2.4 mm drill bit. Two separate FiberTapes® (Arthrex, Naples, FL; USA) are shuttled through the proximal and distal bone tunnels around the tendon in "X" and "O"type configuration. Patellar height is reestablished under fluoroscopic control and both FiberTapes are tied down. Both tendon ends are debrided and readapted with absorbable sutures. Passive motion exercise to 90° of flexion from day1. Partial load to 20 kg of body weight with knee in locked full extension brace during first 2weeks. Isometric exercises from week3. Passive flexion to 110° from week4 (adapted to pain). Free active range of motion and weight bearing from week7. In more than 10 years of clinical application, positive results were continuously found in acute as well as chronic patellar tendon ruptures. These results are consistent with those in the current literature.
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