- 期刊
Surgical Technique of Reconstructing Patellar Tendon with Ipsilateral Hamstring Tendons with Preserved Distal Insertion
摘要
Objective: To evaluate new technique of preserved distal semitendinous-gracilis insertion with newly designed detachable tendon stripper. Method: For chronic or neglected patellar tendon rupture, reconstruction techniques with patellar tendon substitute were needed. We used our own designed detachable tendon stripper in the procedure of semitendinous-gracilis tendon harvesting which could preserved the distal insertion to from tendon to bone which was previously thought as the most difficult part of tendon transfer because it needed tendon to bone healing. We repaired the tendon and strengthened the repair with additional tendon transfer with distal insertion well fixed which could provide early range of motion. Results: Those patellar tendon reconstruction have some technical difficulties to perform and there was no consensus of standard surgical technique of reconstructing patellar tendon. Here, we reported our modified surgical technique by only using semitendinosus-gracilis (STG) tendon grafts with preserved distal insertions to reconstruct chronic patellar tendon rupture. In our 5 cases, our patients had earlier range of motion and no recurrent disruption of patellar tendons during our follow-up periods Conclusions: Our new technique with newly designed detachable tendon stripper has advantages in preserving the distal insertion of the semitendinosus-gracilis (STG) tendon grafts and early range of motion rehabilitation. It is a feasible and alternative method in reconstruction of chronic patellar tendon disruption.