The results of reconstruction of quadriceps and patellar tendon defect with peroneus longus tendon autograft

Abstract

The aim of this study was to evaluate the results of repair with the peroneus

longus tendon of ruptures which developed in the knee extensor mechanism

following trauma or total knee arthroplasty. The results were examined of 9

knees of 7 patients who underwent repair of extensor system ligament injury

with peroneus longus tendon autograft. The injuries were of the quadriceps

tendon only in 2 knees, quadriceps tendon+ medial retinaculum in 4 knees and

patellar tendon in 3 knees. The ipsilateral peroneus longus tendon was harvested

and repair was made to the ruptured quadriceps tendon, medial retinaculum and

patellar tendon. Technically, the peroneus longus tendon was wrapped around

the torn quadriceps tendon and closed with the fan-out technique. In tears of the

patellar tendon, repair was applied by opening 2 parallel tunnels lengthwise on

the patella, then the two ends of the tendon were passed through the separate

tunnels in the patella. All the patients operated on for ruptures of the patellar

tendon, quadriceps tendon and/or medial retinaculum, returned to their daily

life without any support by the 6th month postoperatively. Reconstruction with

peroneus longus tendon can be considered a safe and effective method.

Keywords

• Autograft,Medial retinaculum,Patellar tendon tear,Peroneus longus,Quadriceps tendon tear

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