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How Easy is It to Snap a Suture After Quadriceps Rupture Tendon Surgurey

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Review

doi: 10.11604/pamj.2015.22.243.7533. eCollection 2015.

Surgical management of acute quadriceps tendon rupture (a case report with literature review)

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  • PMID: 26958106
  • PMCID: PMC4764314
  • DOI: 10.11604/pamj.2015.22.243.7533

Free PMC article

Review

Surgical management of acute quadriceps tendon rupture (a case report with literature review)

Badr Ennaciri  et al. Pan Afr Med J. .

Free PMC article

Abstract

Quadriceps tendon rupture is uncommon and often overlooked in emergency. Tearing affects weakening tendon by systemic diseases or some medications. The mechanism is generally indirect. Inability to actively extend the knee associated to a supra-patellar defect evoke easily the diagnosis without other investigations. Surgical repair is realized in emergency to completely restore the extension. We report a case of a patient who has sustained of complete quadriceps tendon tear after a long period of tendon weakening by statin therapy, hypertension and diabetes. The repair has consisted on end-to-end Krackow sutures associated with bone suture to the proximal pole of the patella. Surgeons and emergency physicians must think to this form of extensor apparatus rupture, because early diagnosis leads to early treatment and to best outcomes.

Keywords: Krackow sutures; Quadriceps tendon; tear.

Figures

Figure 1
Figure 1

Skin ecchymosis in supra-patellar of the left knee

Figure 2
Figure 2

Knee examination showing depression in supra-patellar

Figure 3
Figure 3

Surgical exploration showing complete rupture of quadriceps tendon onto the vastus intermedius

Figure 4
Figure 4

Krackow sutures associated with bone reinforcement of the tendon

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Source: https://www.ncbi.nlm.nih.gov/pubmed/26958106

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