Skip to main content

Table 6 Surgical technique used in QTR treatment

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

Type of surgery Nr. of reference No. of patients Gender Mean age Mean range time before surgery  
Codivilla’s Y/V technique
  [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 40 days Fig. 2 and Fig. 3
  [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 60 days
  [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 46,75 240 days
  [23] Modified V-Y turndown flap augmentation for quadriceps tendon rupture following total knee arthroplasty: a retrospective study. (2019) Shi et al. 23 10 M 13 F 61 21 days
Autograft
Medial gastrocnemius-soleus-calcaneus rotational flap [29] The hemisoleus rotational flap provides a novel superior autograft reconstructive option for the treatment of chronic extensor mechanism disruption. (2016) Auregan et al. 1 F 80 210 days Fig. 4
Peroneus longus [42] Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon (2015) Karahasanoglu et al. 1 M 40 730 days Fig. 5
Gracilis and semitendinosus [17] Reconstruction of a chronic quadriceps tendon tear in a body builder. (2006) Leopardi et al. 1 M 28 210 days  
Gracilis and semitendinosus with prolene mesh reinforcement [28] Autologous hamstring tendon used for revision of quadiceps tendon tears. (2013) McCormick et al. 1 M 38 1°: immediatly 2°: 300 days after the rerupture Fig. 6
  [19] Quadriceps tendon repair using hamstring, prolene mesh and autologous conditioned plasma augmentation. A novel technique for repair of chronic quadriceps tendon rupture. (2015) Rehman et al. 1 M 61 300 days  
Ileo-tibial band [30] Chronic rupture of the extensor apparatus of the knee joint. (2005) Poonnoose et al. 1 M 50 4380 days  
Allograft
Achilles tendon-bone block [32] Allograft reconstruction of a chronic quadriceps tendon rupture with use of a novel technique. (2014) Forslund et al. 1 M 47 365 days  
  [33] Reconstruction of disrupted extensor mechanism after total knee arthroplasty. (2017) Lim et al. 3 2 M 1 F 59 205 days  
  [34] Long-term results of extensor mechanism reconstruction using Achilles tendon allograft after total knee arthroplasty. (2018) Wise et al. 6 3 M 3 F 68   
Full extensor mechanism [22] Bilateral extensor mechanism allograft reconstruction for chronic spontaneous rupture: a case report and review of the literature. (2019) Lamberti et al. 1 F 51 480 days  
  [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 90 days Fig. 7
Tibialis anterior [36] Surgical treatment of neglected traumatic quadriceps tendon rupture with knee ankylosis. (2016) Lee et al. 1 M 15 270 days  
Synthetic mesh
  [37] Extensor mechanism reconstruction with use of Marlex Mesh. (2019) Abdel et al. 27 10 M 17 F 67 219 days Fig. 8
  [38] Polypropylene mesh augmentation for complete quadriceps rupture after total knee arthroplasty. (2016) Nodzo et al. 7 2 M 5 F 58,7 90 days  
  [18] Repair of ruptured quadriceps tendon with Leeds-Keio ligament following revision knee surgery. (2008) Rust et al. 1 F 86 120 days  
Sutures
  [25] Bilateral quadriceps tendon rupture in a seasoned marathon runner with patellar spurs. (2011) Assiotis et al. 1 M 63 42 days  
  [43] Bilateral quadriceps tendon rupture and coexistent femoral neck fracture in a patient with chronic renal failure. (2007) Kazimoglu et al. 1 F 37 60 days
  [44] Chronic quadriceps tendon rupture after total knee arthroplasty augmented with synthetic mesh. (2017) Ormaza et al. 3 2 M 1 F 67,5 148 days
  [45] Delayed reconstruction of a quadriceps tendon. (2008) Pocock et al. 1 F 80 2920 days
  [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  
  [48] Quadriceps tendon rupture after total knee arthroplasty. Prevalence, complications, and outcomes. (2005) Dobbs et al. 7 1 M 6 F 72 40 days