par Van Dale, Patricia 
;Opdecam, Pierre
Référence Acta orthopaedica Belgica (Ed. bilingue), 42, 5, page (454-458)
Publication Publié, 1976
;Opdecam, Pierre Référence Acta orthopaedica Belgica (Ed. bilingue), 42, 5, page (454-458)
Publication Publié, 1976
Article révisé par les pairs
| Résumé : | Having compared the results of five cases of ruptured patellar tendon we concluded that it was imperative to protect the suture by a metallic cerclage 12/10 mm through a tunnel in the tibial crest and sutured in a figure of 8 fashion around the patella. This permits a lowering of the patella, an immediate passive kinesitherapy without interference with the healing and no untoward effect on tendon repair. Three weeks later walking is permitted with a posterior removable plaster splint allowing further kinesitherapy. After 2 mth extension is full and active flexion during squatting without aid is 90°. There must be no fear for rupture of the wire which occurs only after healing of the tendon. Long term results concerning stability and functional repair do seem much more gratifying. So we use this technique in all cases of ruptured patellar tendon especially in bilateral cases affecting elderly people. Without this technique definitive functional impairment is frequent. |
