Chronic Quadriceps Lesion with Peroneus Longus Autograft - A Case Report
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Abstract
Chronic quadriceps tendon ruptures are challenging lesions due to persistent inflammation, scarring, and tendon retraction. Although this is a disabling injury, few surgical techniques have been reported for such cases. We describe a 50-year-old Caucasian male who suddenly experienced pain in the anterior region of the knee during skating practice, with no history of direct trauma or known risk factors for associated diseases. He was treated with a modified Wave Puvertalf technique and extensor autograft reconstruction using the peroneus longus tendon.
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References
Clayton RAE, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury 2008; 39: 1338–1344.
Hassani ZA, Boufettal M, Mahfoud M, et al. Neglected rupture of the quadriceps tendon in a patient with chronic renal failure (case report and review of the literature). Pan Afr Med J 2014; 18: 55.
Ecker ML, Lotke PA, Glazer RM. Late reconstruction of the patellar tendon. J Bone Joint Surg Am 1979; 61: 884–886.
Kelikian H, Riashi E, Gleason J. Restoration of quadriceps function in neglected tear of the patellar tendon. Surg Gynecol Obstet 1957; 104: 200–204.
Zekcer A, Carneiro ACI, Minervini S, et al. Re-ruptura do ligamento patelar: uma proposta para o tratamento cirúrgico. Rev bras ortop 2001; 41–43.
McCormick F, Nwachukwu BU, Kim J, et al. Autologous hamstring tendon used for revision of quadiceps tendon tears. Orthopedics 2013; 36: e529-532.
Poonnoose PM, Korula RJ, Oommen AT. Chronic rupture of the extensor apparatus of the knee joint. Med J Malaysia 2005; 60: 511–513.
Hoang V, Anthony T, Quattrocelli M, et al. Quadriceps Tendon Reconstruction With Achilles Tendon Bone Block Allograft. Arthrosc Tech 2023; 12: e45–e52.
Rocha de Faria JL, Laett CT, Gavilão UF, et al. Modified Pulvertaft on Weave Technique Restores Full Active Knee Extension in Patients With Large Chronic Quadriceps Tendon Rupture: A Case Series. Arthroscopy 2022; 38: 2268–2277.
Gilmore JH, Clayton-Smith ZJ, Aguilar M, et al. Reconstruction techniques and clinical results of patellar tendon ruptures: Evidence today. Knee 2015; 22: 148–155.
Elattar O, McBeth Z, Curry EJ, et al. Management of Chronic Quadriceps Tendon Rupture: A Critical Analysis Review. JBJS Rev; 9. Epub ahead of print 6 May 2021. DOI: 10.2106/JBJS.RVW.20.00096.
Oliva F, Marsilio E, Migliorini F, et al. Complex ruptures of the quadriceps tendon: a systematic review of surgical procedures and outcomes. J Orthop Surg Res 2021; 16: 547.
Thaunat M, Gaudin P, Naret C, et al. Role of secondary hyperparathyroidism in spontaneous rupture of the quadriceps tendon complicating chronic renal failure. Rheumatology (Oxford) 2006; 45: 234–235.
Kraeutler MJ, Bravman JT, McCarty EC. Bone-patellar tendon-bone autograft versus allograft in outcomes of anterior cruciate ligament reconstruction: a meta-analysis of 5182 patients. Am J Sports Med 2013; 41: 2439–2448.
Rhatomy S, Asikin AIZ, Wardani AE, et al. Peroneus longus autograft can be recommended as a superior graft to hamstring tendon in single-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 2019; 27: 3552–3559.