Home|Journals|Articles by Year|Audio Abstracts
 

Case Report

IJMDC. 2023; 7(7): 1062-1068


Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report

Abdullah A. Alshomrany, Abdullah N. Almuawi, Abdulmajeed A. Alkhathami, Ahmed Aggor, Abdullah Almotheby.




Abstract

Background: Patellar tendon ruptures are uncommon, severe, and are complex cases that require early surgical intervention. Loss of function of the extensor mechanism of the knee joint might cause severe disability and inability to hold a standing position.
Case Presentation: A 34-year-old Saudi male, known to have morbid obesity (class 1), came to the emergency room complaining of severe pain in the left knee after experiencing a fall on a flexed knee while playing soccer. The patient had no other significant past medical history. In this case, the injury occurred due to a minor sports accident, and there were no predisposing factors. Thus, it was decided to do patellar tendon augmented reconstruction using a pedicled hamstring tendon, involving primary repair. After the surgery, a cast was applied on the patient’s knee and retained for 3 weeks, allowing only active knee flexion and passive extension. Then, active assisted knee extension was allowed through physiotherapy for 2 months, until 75%-80% of active extension was achieved. Patient was moved to out-patient department after 3 months for further assessment.
Conclusion: Patellar tendon ruptures from the tibial tuberosity are quite uncommon. When the patient has morbid obesity, acute repair of the patellar tendon through reconstruction using hamstring tendons could give a positive result with good outcome in the joint’s movement.

Key words: patellar rupture, augmented reconstruction, hamstrings graft, case report, Saudi Arabia






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.