MANAGEMENT OF NEGLECTED PATELLAR TENDON INJURY

Abstract

Objective Neglected rupture of the patellar tendon is a rare, can be easily missed in a group of patients. Surgical management of neglected patellar tendon rupture is more demanding than that of acute ruptures, and the results are less favorable because of retraction, adhesion, atrophy of the quadriceps muscle and proximal patellar migration. There are several methods to relocate the patella to its anatomic location including preoperative traction, intraoperative traction, external fixation and quadricepsplasty. We  present a patient with a neglected  patellar tendon rupture treated  successfully with a modified Ecker technique and adjustable knee brace in the postoperative period. Methods We present a 17 year old, male patient who had history of fall from steps 3 months back with injury to left knee. The patient took native treatment. Later presented to us with instability during walking and frequent falls . The neglected patellar tendon rupture treatment includes surgery by modified Ecker technique and intensive rehabilitation. Results After 3 mnths of follow up post op, the anatomic position in the extended knee and good functional result was achieved with intensive rehabilitation.