Concomitant Use of Single Suture Anchor and Transosseus Repair Provide Optimal Results in Simultaneous Bilateral Quadriceps Tendon Rupture: A Case Report

Husnul Fuad Albar; Permana Yudhadibrata; Arya Cipta Widjaja

doi:10.3889/oamjms.2022.7966

Authors

Husnul Fuad Albar Department of Orthopaedic and Traumatology, Sport Division, Faculty of Medicine, University of Sumatera Utara, Haji Adam Malik General Hospital, Medan, Indonesia https://orcid.org/0000-0001-6342-5725
Permana Yudhadibrata Department of Orthopaedic and Traumatology, Sport Division, Haji Hospital, Medan, Indonesia
Arya Cipta Widjaja Department of Orthopaedic and Traumatology, Sport Division, Faculty of Medicine, University of Sumatera Utara, Haji Adam Malik General Hospital, Medan, Indonesia https://orcid.org/0000-0003-3837-238X

DOI:

https://doi.org/10.3889/oamjms.2022.7966

Keywords:

Suture anchor, Transosseus repair, Simultaneous bilateral quadriceps tendon rupture, Case report

Abstract

Introduction

Bilateral quadriceps tendon rupture is a rare condition and often associated with underlying medical comorbidities such as chronic renal insufficiency. This case report is aimed to evaluate the surgical outcome using the combination of suture anchor and transosseus repair technique.

Presentation of Case

Presenting a 54-year-old male who sustained simultaneous bilateral quadriceps tendon rupture with history of right nephrectomy and chronic kidney disease requiring intermittent hemodialysis. He came with sudden bilateral knee pain, history of falling, and inability to walk since three weeks before admission to the hospital. Tenderness above the superior pole on both patella, accompanied with slight swelling and no active range of motion (ROM) of either knee joint was found on physical examination. Complete rupture of the quadriceps tendon of both knees at their osseus-tendon junction were revealed on magnetic resonance imaging (MRI).

Discussion

Recent literatures suggested that transosseus technique offers the safest and more stable tendon reattachment, while suture anchor provides biomechanical superiority. We tried to combine these advantages by incorporating both methods. Progressive active knee motion exercise was performed shortly after using the Kocher slab for 2 weeks.Subsequently, the patient can achieve painless, active extension and active 90°-120° knee flexion 1 month post-operatively.

Conclusion

The application of a single suture anchor with transosseus repair in quadriceps tendon rupture led to an optimal outcome, improved stability, and earlier rehabilitation.

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