Rehabilitation from delayed bilateral complete quadriceps tendon repairs with knee extension assist braces: A case report

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2024-11-01 DOI:10.1016/j.jcot.2024.102789

Benjamin Hewins, Sara Sparavalo, Ivan Wong

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Abstract

Simultaneous bilateral quadriceps tears are rare with fewer than 150 cases reported in the literature and typically occur in male patients greater than 40 years of age. If left untreated or with delayed clinical intervention, these injuries often lead to chronic disability including pain and reduced ambulation. Typical treatments include surgical repair with considerable post-operative rehabilitation and a guarded prognosis. However, given the scarcity of these cases, a consensus on a standard course of treatment remains unclear and ultimately at the discretion of the clinician.

A 67-year-old male presented 6-months after complete, retracted tears of bilateral quadriceps tendons after a fall onto both knees in flexion. Treatment included: immediate bilateral quadriceps tendon repairs, immobilization, physiotherapy, and the daily use of novel tri-compartment offloader knee braces providing knee-extension assist. To our knowledge, this is the first report of a full return to independent ambulation following a delayed diagnosis and surgical intervention of complete bilateral quadriceps tendon tears.

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使用膝关节伸展辅助支架进行延迟性双侧股四头肌肌腱完全修复术后康复：病例报告

同时发生的双侧股四头肌撕裂非常罕见，文献报道的病例不到 150 例，通常发生在 40 岁以上的男性患者身上。如果不及时治疗或延误临床干预，这些损伤通常会导致慢性残疾，包括疼痛和行动不便。典型的治疗方法包括手术修复，术后需要大量的康复治疗，预后较差。一名 67 岁的男性在双膝屈曲摔倒后，双侧股四头肌肌腱完全撕裂并回缩，6 个月后就诊。治疗包括：立即进行双侧股四头肌肌腱修复、固定、理疗，以及每天使用新型三腔卸力膝关节支架提供膝关节伸展辅助。据我们所知，这是第一份关于双侧股四头肌肌腱完全撕裂延迟诊断和手术干预后完全恢复独立行走的报告。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.