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J Clin Orthop Trauma. 2015 Dec;6(4):296-9. doi: 10.1016/j.jcot.2015.04.003. Epub 2015 Jul 2.

Neglected bilateral rupture of the patellar tendon: A case report.

Author information

1
Resident in Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Moulay Ismail (HMMI), BP 50000, Meknes, Morocco.
2
Assistant Professor in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
3
Resident in Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.
4
Professor Head of the Department of Orthopedic Surgery and Traumatology, HMMI, Meknes, Morocco.

Abstract

Simultaneous bilateral rupture of the patellar tendon (PT) is extremely rare and is generally associated to some chronic diseases. When the rupture becomes chronic, it is more difficult to repair that as it remained untreated. The diagnosis, which is clinical, is often delayed, guided by standard radiography and confirmed by ultrasound or MRI. The management of a bilateral neglected, chronic patellar tendon rupture must address some serious difficulties: the proximally retracted patella, the reconstruction of the patellar tendon, finally, the temporary protection of this repair. We report a case of neglected bilateral rupture of the patellar tendon in a chronic hemodialysis patient, treated with a plastic surgery of the ipsilateral quadriceps tendon.

KEYWORDS:

Chronic rupture; Haemodialysis; Patellar tendon

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