Cobra tongue shaped allograft augmentation of neglected patellar tendon rupture

Ali Abdullah Mohammed AL Lawati *

Orthopaedic Consultant, Khoula Hospital, Muscat, Sultanate of Oman.
 
Review
International Journal of Science and Research Archive, 2024, 13(02), 2456–2459.
Article DOI: 10.30574/ijsra.2024.13.2.2422
Publication history: 
Received on 28 October 2024; revised on 04 December 2024; accepted on 07 December 2024
 
Abstract: 
We present a case of neglected patellar tendon avulsion after failed fixation. During the reconstruction of this injury, the Achilles tendon-Calcaneal bone allograft was fashioned like a cobra bifid tongue, and used for augmentation. Distally fixed in bone sockets that were each secured with an interference screw. While proximally the allograft tendon was sutured to the quadriceps tendon. This unique configuration was used to provide bone to bone fixation over the tibial side and to maximize the surface area of augmentation.
 
Keywords: 
Knee extensor mechanism disruption; Chronic patellar tendon rupture; Patellar tendon reconstruction; Neglected patellar tendon rupture
 
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