A systematic approach to reconstruction of neglected tears of the patellar tendon. A case report
Mandelbaum, B.R.; Bartolozzi, A.; Carney, B.
Clinical Orthopaedics and Related Research 1988(235): 268-271
1988
ISSN/ISBN: 0009-921X PMID: 3416533 Document Number: 316332
Neglected tears of the patellar tendon due to loss of active extension remain a difficult therapeutic endeavor. The goals in the approach to this diagnosis include restoration of both structural and functional integrity of the extensor mechanism. A procedure has been developed utilizing Z-shortening of the patellar tendon, Z-lengthening of the quadriceps tendon, and the semitendinosis gracilis as a biologic splint. This technique allows establishment of preoperative goals, including restoration of the muscle-tendon complex in its anatomic position, restoration of quadriceps function, preservation of vascularity of the reconstructed tendon, and splinting of the patellar tendon. This reconstruction allows early mobilization and rehabilitation.