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Table 4 Chronic QTR

From: Complex ruptures of the quadriceps tendon: a systematic review of surgical procedures and outcomes

Nr. of reference

No. of patients

Gender

Mean age

Mechanism of rupture

Time before surgery

Type of lesion/rerupture

Associated injury/comorbidities

Type of surgery

[25] Bilateral quadriceps tendon rupture in a seasoned marathon runner with patellar spurs. (2011) Assiotis et al.

1

M

63

Tripped on a step and fell down, landing on both his knees

42 days

Bilateral QT ruptures

None

Three separate Krakow-type sutures +three separate drilled tunnels in the patella and secured over the distal pole

[40] Simultaneous chronic rupture of quadriceps tendon and contra-lateral patellar tendon in a patient affected by tertiary hyperparatiroidism. (2008) Grecomoro et al.

1

M

48

Subsiding of the left knee during walking and a secondary fall

40 days

Full thickness of the distal insertion of QT

Chronic renal failure, tertiary hyperparathyroidism

Codivilla’s Y/V technique

[41] Neglected rupture of the quadriceps tendon in a patient with chronic renal failure (case report and review of the literature). (2014) Hassani et al.

1

M

32

Common fall

60 days

Full thickness of the QT at the osteo-tendinous junction with retraction of 3 cm + calcifications

Chronic renal failure, with hemodialysis dependence for 5 years

Codivilla’s Y/V technique

[22] Bilateral extensor mechanism allograft reconstruction for chronic spontaneous rupture: a case report and review of the literature. (2019) Lamberti et al.

1

F

51

Acute failureof the left knee while getting up from a chair

480 days

Full-thickness lesion on the left QT

End-stage renal failure + full-thickness lesion on the right patellar tendon

A full extensor mechanism allograft

[36] Surgical treatment of neglected traumatic quadriceps tendon rupture with knee ankylosis. (2016) Lee et al.

1

M

15

Motorcycle traffic accident

270 days

Chronic QT rupture + a patellar superior pole avulsion fracture of the left knee + nonunion of the left proximal tibia fracture

Open fracture of the left femur shaft + an intra-articular fracture of the proximal tibia

QT reconstruction using tibialis anterior allograft and additional screw fixation

[17] Reconstruction of a chronic quadriceps tendon tear in a body builder. (2006) Leopardi et al.

1

M

28

Car accident

210 days

Full-thickness tear of the quadriceps tendon proximal to the superior pole of the patella

Anabolic steroid use

QT reconstruction using gracilis and semitendinosus autograft

[42] Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon (2015) Karahasanoglu et al.

1

M

40

Fall from a standing height

730 days

Chronic full-thickness and QT retraction

Ipsilateral patellar tendon rupture

Peroneus longus autograft

[43] Bilateral quadriceps tendon rupture and coexistent femoral neck fracture in a patient with chronic renal failure. (2007) Kazimoglu et al.

1

F

37

Two consecutive falls

60 days

bilateral QT ruptures

Chronic renal failure, with hemodialysis dependence for 2 years

Tycron transpatellar suture anchors

[35] Knee osteoarthritis with chronic quadriceps tendon rupture treated with total knee arthroplasty and extensor mechanism allograft reconstruction: a case report. (2018) Piatek et al.

1

M

51

Traumatic fall

90 days

Chronic full-thickness and QT retraction

Tricompartmental knee osteoarthritis

TKA + complete knee extensor mechanism allograft

[45] Delayed reconstruction of a quadriceps tendon. (2008) Pocock et al.

1

F

80

Common fall

2920 days

Chronic full-thickness and QT retraction

Hypertension

Four FiberWire1 (Arthrex Ltd, Sheffield, England) sutures

[30] Chronic rupture of the extensor apparatus of the knee joint. (2005) Poonnoose et al.

1

M

50

Common fall

4380 days

Chronic full-thickness and QT retraction

Comminuted patellar fracture treated with patellectomy

Controlateral ileo-tibial band autograft

[46] Chronic quadriceps rupture: treatment with lengthening and early mobilization without cerclage augmentation and a report of three cases. (2008) Rizio et al.

3

1 M

2 F

46,75

One of them down a flight of stairs; One of them injured his knee while jumping in church during prayers; One of them fell while stepping off a curb.

240 days

Chronic full thickness

Hypertension, hypercolesterolaemia, obesity + obesity + hyp and chronic back pain

V-Y lengthening and direct repair through drill holes in the patella without augmentation

[47] A simultaneous bilateral quadriceps and patellar tendons rupture in patients with chronic kidney disease undergoing long-term hemodialysis: a case report. (2020) Tao et al.

2

M

33,5

1 fall down the stairs 1 sudden twist

Bilateral QT ruptures

Chronic renal failure, with hemodialysis dependence for 9 and 11 years

Krackow sutures