Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report

Abdullah A. Alshomrany; Abdullah N. Almuawi; Abdulmajeed A. Alkhathami; Ahmed Aggor; Abdullah Almotheby

doi:10.24911/IJMDC.51-1676917728

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Case Report

Online Publishing Date:
10 / 03 / 2023

IJMDC. 2023; 7(7): 1062-1068

doi: 10.24911/IJMDC.51-1676917728

Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report

Abdullah A. Alshomrany, Abdullah N. Almuawi, Abdulmajeed A. Alkhathami, Ahmed Aggor, Abdullah Almotheby.

Abstract
Background: Patellar tendon ruptures are uncommon, severe, and are complex cases that require early surgical intervention. Loss of function of the extensor mechanism of the knee joint might cause severe disability and inability to hold a standing position.
Case Presentation: A 34-year-old Saudi male, known to have morbid obesity (class 1), came to the emergency room complaining of severe pain in the left knee after experiencing a fall on a flexed knee while playing soccer. The patient had no other significant past medical history. In this case, the injury occurred due to a minor sports accident, and there were no predisposing factors. Thus, it was decided to do patellar tendon augmented reconstruction using a pedicled hamstring tendon, involving primary repair. After the surgery, a cast was applied on the patient’s knee and retained for 3 weeks, allowing only active knee flexion and passive extension. Then, active assisted knee extension was allowed through physiotherapy for 2 months, until 75%-80% of active extension was achieved. Patient was moved to out-patient department after 3 months for further assessment.
Conclusion: Patellar tendon ruptures from the tibial tuberosity are quite uncommon. When the patient has morbid obesity, acute repair of the patellar tendon through reconstruction using hamstring tendons could give a positive result with good outcome in the joint’s movement.

Key words: patellar rupture, augmented reconstruction, hamstrings graft, case report, Saudi Arabia

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Pubmed Style

Alshomrany AA, Almuawi AN, Alkhathami AA, Aggor A, Almotheby A. Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. IJMDC. 2023; 7(7): 1062-1068. doi:10.24911/IJMDC.51-1676917728

Web Style

Alshomrany AA, Almuawi AN, Alkhathami AA, Aggor A, Almotheby A. Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. https://www.ijmdc.com/?mno=144372 [Access: March 28, 2024]. doi:10.24911/IJMDC.51-1676917728

AMA (American Medical Association) Style

Alshomrany AA, Almuawi AN, Alkhathami AA, Aggor A, Almotheby A. Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. IJMDC. 2023; 7(7): 1062-1068. doi:10.24911/IJMDC.51-1676917728

Vancouver/ICMJE Style

Alshomrany AA, Almuawi AN, Alkhathami AA, Aggor A, Almotheby A. Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. IJMDC. (2023), [cited March 28, 2024]; 7(7): 1062-1068. doi:10.24911/IJMDC.51-1676917728

Harvard Style

Alshomrany, A. A., Almuawi, . A. N., Alkhathami, . A. A., Aggor, . A. & Almotheby, . A. (2023) Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. IJMDC, 7 (7), 1062-1068. doi:10.24911/IJMDC.51-1676917728

Turabian Style

Alshomrany, Abdullah A., Abdullah N. Almuawi, Abdulmajeed A. Alkhathami, Ahmed Aggor, and Abdullah Almotheby. 2023. Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. International Journal of Medicine in Developing Countries, 7 (7), 1062-1068. doi:10.24911/IJMDC.51-1676917728

Chicago Style

Alshomrany, Abdullah A., Abdullah N. Almuawi, Abdulmajeed A. Alkhathami, Ahmed Aggor, and Abdullah Almotheby. "Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report." International Journal of Medicine in Developing Countries 7 (2023), 1062-1068. doi:10.24911/IJMDC.51-1676917728

MLA (The Modern Language Association) Style

Alshomrany, Abdullah A., Abdullah N. Almuawi, Abdulmajeed A. Alkhathami, Ahmed Aggor, and Abdullah Almotheby. "Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report." International Journal of Medicine in Developing Countries 7.7 (2023), 1062-1068. Print. doi:10.24911/IJMDC.51-1676917728

APA (American Psychological Association) Style

Alshomrany, A. A., Almuawi, . A. N., Alkhathami, . A. A., Aggor, . A. & Almotheby, . A. (2023) Patellar tendon ruptures repaired through a simple modified reconstruction using hamstrings tendon graft in obese patient: surgical technique and case report. International Journal of Medicine in Developing Countries, 7 (7), 1062-1068. doi:10.24911/IJMDC.51-1676917728

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