Work

Combined Transosseous and Osteosynthetic Reconstruction of Chronic Patellar Tendon Rupture Using Achilles Tendon Allograft With Bone Block

Year: 2025

Type: article

Abstract: Patellar tendon (PT) ruptures can substantially diminish the quality of life for patients, imposing significant functional limitations and persistent pain. If left untreated, the tendon presents surgical challenges, including scar tissue development, contracture, muscle atrophy, stiffness, and compromised vascular integrity. This technical note describes a technique using Achilles tendon allograft with bone block fixed to the tibia with tendinous graft limbs passed through patellar bone tunnels. Risky drill tunnels and potentially irritating hardware are avoided, healing surface area for graft incorporation is maximized, supplementary fixation is included, and the length-tension relationship is matched to the contralateral knee.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2025.103537

Authors: Stephen Maier, Emmanuel Dean, Matthew Pikowski, Edward Jackson

Institutions: Emory University, Morehouse School of Medicine

Language: English

Topic: Knee injuries and reconstruction techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975