Journal of Orthopaedic Case Reports最新文献

{"title":"Treatment of Bilateral Distal Femoral Shaft Fractures in a Paraplegic Patient with Intramedullary Nailing: A Case Report.","authors":"Ernesto S Quinto, Brendan J Liakos, William L Pistel","doi":"10.13107/jocr.2025.v15.i09.6080","DOIUrl":"10.13107/jocr.2025.v15.i09.6080","url":null,"abstract":"<p><strong>Introduction: </strong>Lower extremity fractures are a frequent complication in patients with chronic spinal cord injury due to significant bone mineral density loss and altered bone metabolism. While non-operative management has traditionally been favored, advances in surgical techniques have expanded treatment options, including intramedullary nailing and plate fixation. However, the optimal approach remains controversial, especially in paraplegic patients with distal femoral fractures. This case report highlights the challenges and complications associated with surgical management in this unique patient population.</p><p><strong>Case report: </strong>A 45-year-old male with T2 paraplegia presented with bilateral distal femoral shaft fractures following a motor vehicle accident. He underwent bilateral retrograde intramedullary nailing to preserve mobility and independence. Postoperatively, the patient developed a hypertrophic non-union on the right side with hardware migration, requiring revision with plate and screw fixation. Subsequently, he developed painful hardware on the right and severe heterotopic ossification on the left, significantly impacting his quality of life. Although hardware removal was recommended, the surgeries were never performed due to the patient's clinical course and eventual death from unrelated causes.</p><p><strong>Conclusion: </strong>Clinicians should be aware of the potential complications associated with intramedullary nailing and revision open reduction internal fixation in paraplegic patients who present with bilateral distal femoral shaft fractures. Treatment remains controversial and should be tailored to each patient.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"229-233"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calcaneal Giant Cell Tumor Masquerading as Lateral Ankle Sprain - A Rare Case Report and Review of Literature.","authors":"Eshaan Mishra, Nirmal Chandra Mohapatra, Soumitesh Sibananda Das, Archana Mishra","doi":"10.13107/jocr.2025.v15.i09.6076","DOIUrl":"10.13107/jocr.2025.v15.i09.6076","url":null,"abstract":"<p><strong>Introduction: </strong>Giant cell tumor (GCT) of bone is one of the most commonly encountered bone tumors in any orthopedic surgeon's routine practice. Although in most instances the age, sex, location, and clinical presentation are typical there is always a chance of encountering an atypical case with an anomalous presentation.</p><p><strong>Case report: </strong>Benign bone tumors such as GCT are often diagnosed with a symptomatology typical of bone tumors, however, there have been many reported cases wherein they were diagnosed incidentally as part of investigation into a different disease manifestation. These nuances are of more significance in case of GCT as it is a benign aggressive tumor and the prognosis after treatment is highly dependent on earlier diagnosis allowing for increased chances at limb salvage and functional restoration as compared to more radical treatment options.Lateral ankle sprain is a commonly encountered disease entity and, as such, enjoys a very benign progression with conservative management.Our patient was initially diagnosed on outpatient basis as a case of ankle sprain based on the history and clinical features, However, worsening of symptoms on conservative management prompted us toward the presence of a more sinister pathology. Subsequent radiological and histopathological investigations helped in the definitive diagnosis of GCT of calcaneus.</p><p><strong>Conclusion: </strong>We present to you a case of calcaneal GCT masquerading as lateral ankle sprain which is a rare presentation and such cases need to be evaluated meticulously with respect to their diagnostic algorithm and treatment challenges.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"219-223"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation between Parity and Risk of Osteoarthritis in Elderly Women: A Retrospective Analysis.","authors":"Neelam Singh Raghuwanshi, Neha Baraiya, Sonendra Kumar Sharma, Vishnu Kumar Gupta, Parul Nema","doi":"10.13107/jocr.2025.v15.i09.6122","DOIUrl":"10.13107/jocr.2025.v15.i09.6122","url":null,"abstract":"<p><strong>Introduction: </strong>Osteoarthritis (OA), a leading cause of disability among elderly women, is influenced by both biological and lifestyle factors. Among these, reproductive history, especially parity, has emerged as a potential contributor. Hormonal fluctuations, weight gain during pregnancy, and cumulative mechanical stress on joints may predispose parous women to OA in later life. Despite increasing attention to this association, the extent to which parity contributes to OA risk in Indian women remains insufficiently explored.</p><p><strong>Material and methods: </strong>This retrospective analytical study was conducted at a tertiary care hospital in India and included 234 postmenopausal women aged ≥60 years attending outpatient departments. Parity status was obtained from hospital records and patient interviews. Participants were categorized into three groups based on parity: nulliparous, low parity (1-3 children), and grand multiparous (≥4 children). The diagnosis of OA was confirmed using clinical criteria and radiographic evidence. Data were analyzed using the Statistical Package for the Social Sciences v25.0 with the Chi-square test. A P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>A total of 234 postmenopausal women with knee OA were included in the study. The mean age was 67.4 ± 5.2 years, with a mean BMI of 26.8 ± 3.4 kg/m2 and a mean postmenopausal duration of 17.3 ± 6.5 years. Diabetes mellitus and hypertension were present in 33.3% and 43.6% of participants, respectively. Based on the Kellgren-Lawrence grading, 46.2% had Grade 2 OA, 38.5% had Grade 3 OA, and 15.4% had Grade 4 OA. Regarding parity, 7.7% were nulliparous, 17.9% had low parity (1-2), 42.3% had moderate parity (3-4), and 32.1% were grand multiparous (≥5). A significant association was found between higher parity and increased severity of OA (P < 0.01), with grand multiparous women showing the highest proportion of Grade 4 OA (24.0%).</p><p><strong>Conclusion: </strong>A significant positive correlation was observed between higher parity and the risk of developing OA in elderly women. Grand multiparity may serve as an independent risk factor for OA and should be considered in preventive strategies and early screening programs.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"348-352"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chondroblastoma of the Right Distal Femur Medial Condyle: A Case Report.","authors":"Sabare Naaharaaj, Mohammed Tavfiq, J K Giriraj Harshavardhan, Balaji Vijayan","doi":"10.13107/jocr.2025.v15.i09.6074","DOIUrl":"10.13107/jocr.2025.v15.i09.6074","url":null,"abstract":"<p><strong>Introduction: </strong>Chondroblastoma is a rare, benign but locally aggressive bone tumor typically affecting adolescents and young adults. It commonly arises in the epiphyseal region of long bones, particularly the distal femur. Despite its benign nature, it can cause significant joint dysfunction, pain, and disability. Early diagnosis is critical for preserving joint function and preventing recurrence.</p><p><strong>Case report: </strong>A 15-year-old female presented with progressive right knee pain of 6 months' duration, worsened by weight-bearing and minimally relieved by analgesics. Clinical examination revealed tenderness and immobile swelling in the region of the medial femoral condyle. Imaging showed characteristic \"chicken-wire\" calcification, and computed tomography-guided biopsy confirmed chondroblastoma. The patient underwent extended curettage, iliac crest bone grafting, and the use of synthetic bone substitutes. Post-operative rehabilitation showed a good recovery in range of motion and limb function, with no recurrence at follow-up.</p><p><strong>Conclusion: </strong>Early diagnosis and appropriate surgical management, including extended curettage and bone grafting, are essential to prevent recurrence and restore joint function in distal femur chondroblastoma. Functional outcomes are generally favorable with timely and targeted treatment.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"213-218"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic External Fixation Using Suzuki Frame for Intra-articular Middle Phalanx Base Fracture with Dorsal Subluxation: A Case Report.","authors":"Bibin Thankanadar Amaravathy, Sasi Kumar","doi":"10.13107/jocr.2025.v15.i09.6056","DOIUrl":"10.13107/jocr.2025.v15.i09.6056","url":null,"abstract":"<p><strong>Introduction: </strong>Injuries involving the base of the middle phalanx with intra-articular extension and dorsal subluxation are challenging to manage, particularly when joint congruity and motion preservation are critical. This case report demonstrates the use of the Suzuki frame for dynamic external fixation in such a scenario and discusses broader clinical considerations.</p><p><strong>Case report: </strong>A 37-year-old male sustained an intra-articular middle phalanx base fracture with dorsal subluxation of the left index finger during a cricket injury. Examination showed swelling, tenderness, and a flexion deformity. Radiographs confirmed a comminuted volar lip fracture. Under fluoroscopic guidance, a Suzuki frame was applied using three K-wires and rubber band traction. Advanced imaging was not deemed necessary for acute management. Early active motion was initiated post-operatively, followed by a structured hand therapy protocol. At 6 months, radiological union, >90% range of motion, minimal pain, and return to function were achieved.</p><p><strong>Conclusion: </strong>The Suzuki frame offers a motion-preserving and cost-effective technique for complex phalangeal injuries. Standardized functional outcome measures, complication tracking, and long-term follow-up are essential to support its broader adoption.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"170-173"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Talus Neck and Open Medial Malleolus Fractures with Ankle Subluxation Treated using a Single Anteromedial Approach.","authors":"S Venkatesh Kumar, Ashwath Ahila Baskar, K G Sathyendra, Ramson Vasagan, Rupali Dnyandeo Solankey, Rohini Venkatesh","doi":"10.13107/jocr.2025.v15.i09.6098","DOIUrl":"10.13107/jocr.2025.v15.i09.6098","url":null,"abstract":"<p><strong>Introduction: </strong>Talus fractures are uncommon and complex injuries associated with significant trauma and complications. The incidence of associated malleolar injury with talus fracture is rare.</p><p><strong>Case report: </strong>We share this unusual case of a Hawkins type-3 talus neck fracture along with a serious Grade 3B medial malleolus fracture and ankle subluxation, which was treated with cleaning the wound, realigning the ankle, and surgery to fix the bones. Post-operatively, the wound was healthy and free of infection. Despite being told to avoid weight-bearing for three months, the patient lost follow-up after a month and started occasional partial weight bearing. During the 10th post-operative week, we found a mild degree of talar neck collapse and Hawkins sign radiologically. The range of motion for the ankle was dorsiflexion of 0-15° and plantar flexion of 0-30°, with minimal swelling and pain on weight bearing.</p><p><strong>Conclusion: </strong>This case highlights the rarity and complexity of a talar neck fracture with ipsilateral medial malleolar fracture and ankle dislocation. Positive early outcomes were achieved through timely surgery within 10 h, careful soft tissue management, and appropriate fixation. The presence of a partial Hawkins sign post-operatively indicated preserved talar vascularity and reduced risk of avascular necrosis.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"277-281"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Absence of Bilateral Patella in an Active Military Personnel Case Report.","authors":"Mohammed Alshahrani, Ali Maqbool, Mubashar Maqbool","doi":"10.13107/jocr.2025.v15.i09.6070","DOIUrl":"10.13107/jocr.2025.v15.i09.6070","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital absence of the patella refers to a condition where an individual is born without the patella. It may be bilateral or unilateral. It is an extremely rare condition and when present, mostly occurs as part of syndromes, such as the Nail-patella syndrome, small patella syndrome, trisomy 8 mosaicism, and Meier-Gorlin syndrome.</p><p><strong>Case report: </strong>We are presenting 35-years-old free medically, active soldier referred to the orthopedic clinic from family medicine after noticing abnormal incidental findings on X-rays. On inquiring him, he doesn't recall any problem during his childhood and performing his military duties. On clinical examination of the patient, he had characteristic features of patellar absence with prominent femoral condyles and a hollow sulcus.</p><p><strong>Conclusion: </strong>Isolated congenital bilateral patellar absence I asymptomatic serving military soldier has not been described in the English literature before and is exceedingly rare.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"204-207"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Anterior Extradural Enterogenous Cyst of the Thoracic Spine Mimicking an Anterior Thoracic Meningocele: A Case Report.","authors":"Surya Prakash Rao Voleti, Apurve Parameswaran, Ranjith Mahesh Nellore, Raja Shekar Kaitepalli, Vidya Kedarisetti","doi":"10.13107/jocr.2025.v15.i09.6014","DOIUrl":"10.13107/jocr.2025.v15.i09.6014","url":null,"abstract":"<p><strong>Introduction: </strong>Enterogenous cysts (also known as neurenteric cysts) are rare congenital lesions presumed to arise from an abnormal persistent communication between embryonic ectodermal and endodermal tissues. They may be symptomatic or asymptomatic, and generally have an insidious and prolonged clinical course. They are typically intradural and extramedullary in location. Very few cases of extramedullary enterogenous cysts have been reported in the literature, most of which were cranial. We present a rare case of an anteriorly situated extradural enterogenous cyst at the level of the thoracic spine, mimicking an isolated anterior thoracic meningocele on radiologic evaluation.</p><p><strong>Case report: </strong>A 4-year-old boy was referred to our spine surgery unit for the evaluation and management of an incidentally detected T1 vertebral anomaly. Magnetic resonance imaging revealed the presence of a focal defect over the right half of the T1 vertebral body, through which herniation of a fluid-filled sac into the pre- and right paravertebral regions was noted. A diagnosis of anterior thoracic meningocele was made, and surgery was advised. Following surgical exposure of the entire extent of the sac, needle aspiration to decompress the lesion was performed, which yielded a milky-colored viscous fluid, unlike cerebrospinal fluid. The likelihood of an enterogenous cyst was suspected. The lesion was excised at the level of the base of its peduncle, and the vertebral defect was closed using a small contoured plate. Histopathologic evaluation confirmed the presence of an enterogenous cyst.</p><p><strong>Conclusion: </strong>Anterior thoracic meningoceles and enterogenous cysts of the spine may be indistinguishable on radiologic evaluation, and a definitive diagnosis may be reached only through histopathologic evaluation. The possibility of an enterogenous cyst must be considered in the differential diagnosis of meningoceles, and vice versa.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibiotalar Nailing for Geriatric Pilon Fractures: Case Report and Review of the Literature.","authors":"Bassel El Sayed, Porter Young","doi":"10.13107/jocr.2025.v15.i09.6046","DOIUrl":"10.13107/jocr.2025.v15.i09.6046","url":null,"abstract":"<p><strong>Introduction: </strong>Tibial pilon fractures present a complex challenge, particularly in geriatric patients with comorbidities and compromised soft tissue. Traditional treatment options such as open reduction and internal fixation (ORIF) and tibiotalocalcaneal (TTC) nailing have shown variable outcomes, often complicated by infection, nonunion, and malunion. Tibiotalar nailing is an alternative approach that preserves subtalar joint motion while providing stable fixation, though, there is limited literature on its efficacy in geriatric pilon fractures. This report describes a case of a 64-year-old female with multiple comorbidities presenting with tibial pilon fracture successfully managed with antegrade tibiotalar intramedullary nailing, highlighting the potential advantages of this technique.</p><p><strong>Case report: </strong>A 64-year-old female with a history of chronic obstructive pulmonary disease, hypertension, and a significant smoking history presented with a right tibial pilon and distal fibula fracture following a fall down the stairs. Due to her medical comorbidities and poor soft tissue envelope, she was at high risk for complications with ORIF. After discussing multiple treatment options, she elected to proceed with a tibiotalar intramedullary nail to optimize function while minimizing surgical morbidity. The procedure was performed using a suprapatellar approach, and an 8mm nail was inserted to preserve bone stock and future surgical options. Postoperatively, she progressed well, achieving full fracture healing by 9 months with minimal pain and functional independence. She declined further surgical intervention for hardware removal or ankle fusion, reporting satisfaction with her outcome.</p><p><strong>Conclusion: </strong>This case highlights the successful use of tibiotalar nailing as a viable alternative to ORIF and TTC nailing for managing geriatric pilon fractures with significant comorbidities. By preserving subtalar joint function, this approach offers potential advantages in mobility and quality of life while mitigating the risks associated with more invasive procedures. Given the limited existing literature on this technique, this report contributes to the growing body of evidence supporting its use. Further studies are warranted to compare tibiotalar nailing with conventional approaches in larger cohorts to refine its indications and optimize patient outcomes.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"143-148"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful Management of Quadriceps Tendon Tear with Repair and Augmented with Semitendinosus Graft -A Case Series.","authors":"H Varrdhaman Dhariwal, R Prabhakar, K Mohankumar, Surya Subramanian","doi":"10.13107/jocr.2025.v15.i09.6110","DOIUrl":"10.13107/jocr.2025.v15.i09.6110","url":null,"abstract":"<p><strong>Introduction: </strong>Quadriceps tendon injury is a very uncommon injury among athletes. The incidence is 13% of all tendon injuries. Quadriceps tendon injury is usually male predominant.</p><p><strong>Case series: </strong>The study was conducted in our medical college in the period of 2022-2025. Ten patients with quadriceps tendon ruptures were included in the study. Through anterior midline approach, the tear was identified. Transverse patellar tunnel created after harvesting semitendinosus graft. Graft passed through the tunnel and both limbs sutured to the tendon after repairing the rent. All the patients were reviewed postoperatively at 1, 3, 6, and 12 weeks. Out of the ten patients, all the patients had successful outcome at the end of 6 weeks. Every patient was followed upto 2 years to look for any complication. Two patients had superficial infection which was treated with antibiotics.</p><p><strong>Discussion: </strong>Quadriceps tendon injury is a very uncommon injury among athletes. The most commonly used method of repair is ipsilateral hamstring grafting. Other methods like stabilization with suture anchor, the Codivilla technique, and platelet-rich plasma administration are also being used. Chronic quadriceps tendon injuries are found to be more challenging to repair than acute tears. Surgical treatment has been the gold standard and has remained unchanged for several years. Our technique helps the patient in restoring the extensor mechanism of the knee and early return to his functional activities and thus protecting his knee from developing arthritis and instability.</p><p><strong>Conclusion: </strong>This is a case series which includes ten cases with adequate follow-up. The main objective of this procedure was to restore the patient's ability to extend and flex his knees without lag and return to day-to-day life by a single sitting definitive procedure without any implant in situ.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"312-315"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}