Abstract
Acute patellar tendon rupture is a serious injury, resulting in the disruption of the knee extensor mechanism. Many authors recommend augmented repairs of patellar tendon ruptures to allow early active rehabilitation. An internal brace technique, which is a ligament augmentation using high-strength suture tape and knotless anchors, has been used as augmentation for the primary tendon or ligament injury. A case of acute patellar tendon rupture in a Judo player, who was successfully treated with primary repair and augmentation using an internal brace technique, is presented. In this case, the patient regained full function of the knee and returned to full sports activities postoperatively. An internal brace technique provides biomechanical stability of the repaired tendon without donor site morbidity and could be an effective procedure for the treatment of acute patellar tendon rupture.
Highlights
Acute patellar tendon rupture is a relatively uncommon injury that is generally associated with tendinopathy caused by repetitive microtrauma, prexisting systemic disease, or steroid use [1]
A case of acute patellar tendon rupture in a Judo player, who was successfully treated with augmented repair using an internal brace technique, is presented
Two 4.75 mm SwiveLock suture anchors loaded with a 2 mm suture tape (Arthrex) were placed just lateral and medial to the patellar tendon at the inferior portion of the patella
Summary
Acute patellar tendon rupture is a relatively uncommon injury that is generally associated with tendinopathy caused by repetitive microtrauma, prexisting systemic disease, or steroid use [1]. Several surgical procedures for acute patellar tendon rupture, including primary repair, augmented repair, or primary reconstruction, have been proposed [2, 3]. An internal brace technique is a ligament augmentation using highstrength suture tape and knotless anchors, which provides biomechanical stability of the repaired tendon without donor site morbidity. This technique facilitates immediate postoperative mobilization and early functional recovery. A case of acute patellar tendon rupture in a Judo player, who was successfully treated with augmented repair using an internal brace technique, is presented
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