A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels

A quadriceps tendon rupture is a traumatic injury of the quadriceps insertion on the patella leading to a disruption in the knee extensor mechanism. Diagnosis is usually made clinically with a palpable defect proximal to the superior pole of the patella coupled with the patient’s inability to perfor...

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Main Authors: João Lopes, Gonçalo Martinho, M.D., Manuel Oliveira, M.D., André Guimarães, M.D., Carlos Queirós, M.D., João Raposo, M.D., Levi Reina Fernandes, M.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001811
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author João Lopes
Gonçalo Martinho, M.D.
Manuel Oliveira, M.D.
André Guimarães, M.D.
Carlos Queirós, M.D.
João Raposo, M.D.
Levi Reina Fernandes, M.D.
author_facet João Lopes
Gonçalo Martinho, M.D.
Manuel Oliveira, M.D.
André Guimarães, M.D.
Carlos Queirós, M.D.
João Raposo, M.D.
Levi Reina Fernandes, M.D.
author_sort João Lopes
collection DOAJ
description A quadriceps tendon rupture is a traumatic injury of the quadriceps insertion on the patella leading to a disruption in the knee extensor mechanism. Diagnosis is usually made clinically with a palpable defect proximal to the superior pole of the patella coupled with the patient’s inability to perform a straight leg raise and confirmed on radiographs, ultrasonography, or magnetic resonance imaging scan. When the extensor mechanism is disrupted, operative repair is indicated. Two common techniques have been described for repair: the transosseous) repair and the suture anchor repair, and both have shown good clinical results. Nevertheless, gap formation is always a concern, and there is no consensus if one technique is superior to the other in this matter. We propose a low-cost, tensionable, transosseous anatomic repair that results in a tight construction.
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id doaj-art-f2fb8e58aa624e2b92217ebc1f94fa5a
institution Kabale University
issn 2212-6287
language English
publishDate 2025-07-01
publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-f2fb8e58aa624e2b92217ebc1f94fa5a2025-08-20T04:00:27ZengElsevierArthroscopy Techniques2212-62872025-07-0114710361210.1016/j.eats.2025.103612A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous TunnelsJoão Lopes0Gonçalo Martinho, M.D.1Manuel Oliveira, M.D.2André Guimarães, M.D.3Carlos Queirós, M.D.4João Raposo, M.D.5Levi Reina Fernandes, M.D.6Hospital CUF Santarém, Santarém, Portugal; Medical Riga Stradins University, Riga, LatviaHospital CUF Santarém, Santarém, PortugalHospital CUF Santarém, Santarém, PortugalULS Trás-os-Montes e Alto Douro, Vila Real, PortugalHospital Luz Arrábida, Vila Nova de Gaia, PortugalHospital CUF Açores, Lagoa, PortugalHospital CUF Santarém, Santarém, Portugal; Address correspondence to Reina Fernandes, M.D., Hospital CUF Santarém, R. Zeferino Silva 39 a 51, 2005-321, Santarém, Portugal.A quadriceps tendon rupture is a traumatic injury of the quadriceps insertion on the patella leading to a disruption in the knee extensor mechanism. Diagnosis is usually made clinically with a palpable defect proximal to the superior pole of the patella coupled with the patient’s inability to perform a straight leg raise and confirmed on radiographs, ultrasonography, or magnetic resonance imaging scan. When the extensor mechanism is disrupted, operative repair is indicated. Two common techniques have been described for repair: the transosseous) repair and the suture anchor repair, and both have shown good clinical results. Nevertheless, gap formation is always a concern, and there is no consensus if one technique is superior to the other in this matter. We propose a low-cost, tensionable, transosseous anatomic repair that results in a tight construction.http://www.sciencedirect.com/science/article/pii/S2212628725001811
spellingShingle João Lopes
Gonçalo Martinho, M.D.
Manuel Oliveira, M.D.
André Guimarães, M.D.
Carlos Queirós, M.D.
João Raposo, M.D.
Levi Reina Fernandes, M.D.
A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
Arthroscopy Techniques
title A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
title_full A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
title_fullStr A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
title_full_unstemmed A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
title_short A Low-Cost Tensionable Quadriceps Tendon Rupture Repair Using Transosseous Tunnels
title_sort low cost tensionable quadriceps tendon rupture repair using transosseous tunnels
url http://www.sciencedirect.com/science/article/pii/S2212628725001811
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