Semitendinosus and Gracilis Autograft for Neglected Patellar Tendon Rupture: A Surgical Reconstruction


  • Surya Adisthanaya Department of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University, Sanglah Public General Hospital, Bali, Indonesia
  • Putu Astawa Department of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University, Sanglah Public General Hospital, Bali, Indonesia
  • I Gusti Ngurah Wien Aryana Department of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University, Sanglah Public General Hospital, Bali, Indonesia
  • Febyan Department of Orthopaedic and Traumatology, Bhayangkara Denpasar Hospital, Bali, Indonesia



Patellar tendon, Semitendinosus, Gracilis, Autograft, Reconstruction


BACKGROUND: Neglected patellar tendon rupture is an extremely rare case among orthopedic injuries that severely compromises the function of the extensor mechanism of the knee. Therefore, a prompt and accurate diagnosis of a ruptured patellar tendon are a key to efficacious management, because a treatment delay is often associated with unsatisfactory functional outcomes.

CASE PRESENTATION: We report the case of an adult male patient with traumatic patellar tendon rupture after 9 months of a motorcycle accident. The patient underwent reconstruction surgery using semitendinosus and gracilis tendon augmentation. This procedure restores the anatomical position of the patella and prevents extensor lag. At a 3-month follow-up, a full recovery of the structure and function of the extensor mechanism was perceived. The patient could return to normal daily activities following rehabilitation protocol.

CONCLUSION: Semitendinosus and gracilis tendon autograft is the technique of choice to be applied in the surgical reconstruction of neglected patellar tendon rupture.


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How to Cite

Adisthanaya S, Astawa P, Aryana IGNW, Febyan. Semitendinosus and Gracilis Autograft for Neglected Patellar Tendon Rupture: A Surgical Reconstruction. Open Access Maced J Med Sci [Internet]. 2022 Apr. 4 [cited 2023 May 30];10(C):137-41. Available from:



Case Report in Surgery