Treatment of a Neglected Patellar Tendon Rupture with a Modified Surgical Technique: Ipsilateral Semitendinosus Autograft Reconstruction with Suture Tape Augmentation

Figure 1

(a) The peritenon is identified superiorly, and peritendonous flaps are elevated to reveal the chronic, scarred patellar tendon rupture (approximately 3.5 cm in the midsubstance of the tendon). (b) The chronically scarred portion of the tendon is then debrided along with the medial and lateral retinacula. A Cobb elevator is used to release the superficial and deep aspects of the quadriceps tendon from the surrounding tissues.

(a)

(b)