Arthroscopic suture repair of acute quadriceps tendon ruptures - 21/04/17

Doi : 10.1016/j.otsr.2016.12.018

M. Severyns ^a,^⁎ , G. Renard ^a, R. Guillou ^b, G.A. Odri ^c, O. Labrada-Blanco ^a, J.L. Rouvillain ^a
^a Service de chirurgie orthopédique et traumatologique, CHU de Martinique, CS90632, 97261 Fort-de-France, Martinique
^b Clinique chirurgicale orthopédique et traumatologique, Hôtel-Dieu, CHU de Nantes, place Alexis-Ricordeau, 44093 Nantes, France
^c Service de chirurgie orthopédique, CHU Lariboisière, rue Ambroise-Paré, 75010 Paris, France

^⁎Corresponding author.

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Abstract

Acute quadriceps tendon ruptures disrupt the continuity of the extensor mechanism and must be treated surgically. Tendon reattachment with suture anchors has recently been shown to be biomechanically superior to reattachment through transosseous tunnels. In this context, arthroscopy is an interesting alternative. It can limit postoperative wound healing and infectious complications, while ensuring functional outcomes that are equivalent to standard techniques. The goal of this technical note is to describe an original, reproducible method for arthroscopic reattachment of the quadriceps tendon with suture anchors. Four patients were operated using this technique in a pilot study. No wound healing, infectious complications or re-tears were observed. At 6 months’ postoperative, the mean subjective IKDC score was 85.8/100.

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Keywords : Arthroscopy, Quadriceps tendon rupture, Knee extensor injury, Suture anchors