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Journals / Journal of Experimental and Clinical Medicine / 2026 / Volume: 34 Issue: 2

The results of reconstruction of quadriceps and patellar tendon defect with peroneus longus tendon autograft

Cengiz Aldemir
Fatih Duygun
Ali Alp Doğan
Pages
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Publication Date
2017-09-08
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Reconstruction with peroneus longus tendon can be considered a safe and effective method.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The aim of this study was to evaluate the results of repair with the peroneus longus tendon of ruptures which developed in the knee extensor mechanism following trauma or total knee arthroplasty.
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Key Findings & Data:The results were examined of 9 knees of 7 patients who underwent repair of extensor system ligament injury with peroneus longus tendon autograft.
💡
Conclusion & Impact:Reconstruction with peroneus longus tendon can be considered a safe and effective method.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Autograft · Medial retinaculum · Patellar tendon tear

Abstract

The aim of this study was to evaluate the results of repair with the peroneus longus tendon of ruptures which developed in the knee extensor mechanism following trauma or total knee arthroplasty. The results were examined of 9 knees of 7 patients who underwent repair of extensor system ligament injury with peroneus longus tendon autograft. The injuries were of the quadriceps tendon only in 2 knees, quadriceps tendon+ medial retinaculum in 4 knees and patellar tendon in 3 knees. The ipsilateral peroneus longus tendon was harvested and repair was made to the ruptured quadriceps tendon, medial retinaculum and patellar tendon. Technically, the peroneus longus tendon was wrapped around the torn quadriceps tendon and closed with the fan-out technique. In tears of the patellar tendon, repair was applied by opening 2 parallel tunnels lengthwise on the patella, then the two ends of the tendon were passed through the separate tunnels in the patella. All the patients operated on for ruptures of the patellar tendon, quadriceps tendon and/or medial retinaculum, returned to their daily life without any support by the 6th month postoperatively. Reconstruction with peroneus longus tendon can be considered a safe and effective method.

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Cite This Article

Aldemir, C., Duygun, F., Doğan, A. A. (2017). The results of reconstruction of quadriceps and patellar tendon defect with peroneus longus tendon autograft. Journal of Experimental and Clinical Medicine, Volume: 34 Issue: 2. https://ajindex.com/articles/1423434

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References (11)

  1. AAOS exhibit selection. J. Bone Joint Surg. (Am Vol) 2014. 96, e47. Browne, J.A., Hanssen, A.D., 2011. Reconstruction of patellar tendon disruption after total knee arthroplasty: Results of a new technique utilizing synthetic mesh. J. Bone Joint. Surg. 93, 1137-1143. doi: 10.2106/JBJS.J.01036. Cadambi, A., Engh, G.A., 1992. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty. A report of seven cases. J. Bone Joint. Surg. 74, 974-979.
  2. Cottino, U., Abdel, M.P., Hanssen, A.D., 2015. Chronic extensor mechanism insufficiency in total knee arthroplasty. Curr. Rev. Musculoskelet Med. 8, 368-372. doi: 10.1007/s12178-015-9292-9.
  3. Karahasanoğlu, İ., Yoloğlu, O., Kerimoğlu, S., Turhan, A.U., 2015. Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon. Eklem Hastalik Cerrahisi. 26, 49-51.
  4. Kerimoglu, S., Aynaci, O., Saracoglu, M., Aydin, H., Turhan, A.U., 2008. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop. Traumatol. Turc. 42, 38-43.
  5. Khalilallah, N., Mohammadreza, B., Alireza, H., Mohammadtaghi, K., 2014. Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction? Adv. Biomed. Res. 3, 115. Nam, D., Abdel, M.P., Cross, M.B., LaMont, L.E., Reinhardt, K.R., McArthur, B.A., Mayman, D.J., Hanssen, A.D., Sculco, T.P. 2014. The management of extensor mechanism complications in total knee arthroplasty. J. Bone Joint. Surg. Am. 96, e47. doi: 10.2106/JBJS.M.00949. Parker, D.A., Dunbar, M.J., Rorabeck, C.H., 2003. Extensor mechanism failure associated with total knee arthroplasty: Prevention Aldemir et al. 121 and management. J. Am. Acad. Orthop. Surg. 11, 238-247.
  6. Springer, B.D., Della Valle, C.J., 2008. Extensor mechanism allograft reconstruction after total knee arthroplasty. J. Arthroplast. 23, 35-38. doi: 10.1016/j.arth.2008.06.016. Turhan, A.U., Kerimoglu, S., Dogru, A., Aydin, H., Yulug, E., 2004. Tendon regeneration: An anatomical and histological study in sheep. Knee Surg. Sports Traumatol. Arthrosc. 12, 406-410. AAOS exhibit selection. J. Bone Joint Surg. (Am Vol) 2014. 96, e47. Browne, J.A., Hanssen, A.D., 2011. Reconstruction of patellar tendon disruption after total knee arthroplasty: Results of a new technique utilizing synthetic mesh. J. Bone Joint. Surg. 93, 1137-1143. doi: 10.2106/JBJS.J.01036. Cadambi, A., Engh, G.A., 1992. Use of a semitendinosus tendon autogenous graft for rupture of the patellar ligament after total knee arthroplasty. A report of seven cases. J. Bone Joint. Surg. 74, 974-979.
  7. Cottino, U., Abdel, M.P., Hanssen, A.D., 2015. Chronic extensor mechanism insufficiency in total knee arthroplasty. Curr. Rev. Musculoskelet Med. 8, 368-372. doi: 10.1007/s12178-015-9292-9.
  8. Karahasanoğlu, İ., Yoloğlu, O., Kerimoğlu, S., Turhan, A.U., 2015. Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon. Eklem Hastalik Cerrahisi. 26, 49-51.
  9. Kerimoglu, S., Aynaci, O., Saracoglu, M., Aydin, H., Turhan, A.U., 2008. Anterior cruciate ligament reconstruction with the peroneus longus tendon. Acta Orthop. Traumatol. Turc. 42, 38-43.
  10. Khalilallah, N., Mohammadreza, B., Alireza, H., Mohammadtaghi, K., 2014. Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction? Adv. Biomed. Res. 3, 115. Nam, D., Abdel, M.P., Cross, M.B., LaMont, L.E., Reinhardt, K.R., McArthur, B.A., Mayman, D.J., Hanssen, A.D., Sculco, T.P. 2014. The management of extensor mechanism complications in total knee arthroplasty. J. Bone Joint. Surg. Am. 96, e47. doi: 10.2106/JBJS.M.00949. Parker, D.A., Dunbar, M.J., Rorabeck, C.H., 2003. Extensor mechanism failure associated with total knee arthroplasty: Prevention Aldemir et al. 121 and management. J. Am. Acad. Orthop. Surg. 11, 238-247.
  11. Springer, B.D., Della Valle, C.J., 2008. Extensor mechanism allograft reconstruction after total knee arthroplasty. J. Arthroplast. 23, 35-38. doi: 10.1016/j.arth.2008.06.016. Turhan, A.U., Kerimoglu, S., Dogru, A., Aydin, H., Yulug, E., 2004. Tendon regeneration: An anatomical and histological study in sheep. Knee Surg. Sports Traumatol. Arthrosc. 12, 406-410.