Antonio Bove1, Nicola Orabona1, Vincenzo De Matteo1,2, Nunzia Salati1, Gennaro Di Matteo2, Mustafa Citak3, Adriano Braile2,4

1Department of Orthopaedic and Trauma Surgery, Ospedale Del Mare Hospital, Naples, Italy
2Department of Public Health, Orthopaedics and Traumatology, Federico Il University of Naples, Naples, Italy
3Department of Orthopaedic Surgery, Helios ENDO-Klinik, Hamburg, Germany
4Department of Medical and Surgical Specialties and Dentistry, University of Campania Vanvitelli, Naples, Italy

Keywords: Augmentation, bilateral, quadriceps tendon rupture, reconstruction.


Spontaneous rupture of quadriceps tendon (QT) is a rare condition and it is commonly associated with systemic comorbidities and medical products assumption, which may lead to tendon degeneration. While unilateral rupture is a quite common injury, spontaneous bilateral ruptures are very rare. Herein, we report two consecutive cases of spontaneous bilateral QT rupture in two patients with a positive history of chronic statin use, successfully treated with bilateral single-stage reconstruction with polyethylene-terephthalate tape augmentation. At 12 months of follow-up, both patients recovered the full extension, a 120° pain-free flexion and knee scores improvement. Magnetic resonance imaging at one year showed a complete, bilateral, bio-integration of the augmentation for each knee. In conclusion, polyethylene terephthalate tape augmentation provides a good structural support with a good grade of bio-integration, allowing a fast recovery.

Citation: Bove A, Orabona N, De Matteo V, Salati N, Di Matteo G, Citak M, et al. Spontaneous bilateral quadriceps tendon rupture treated with polyethylene terephthalate tape augmentation: Report of two consecutive cases. Jt Dis Relat Surg 2022;33(3):666-672.

Author Contributions

Idea/concept: A.B., N.S.; Design: A.B., A.B.; Control/supervision: A.B., N.O., M.C.; Data collection and/or processing: A.B., A.B., G.D.M., N.S.; Analysis and/or interpretation: A.B., N.O., V.D.M., A.B.; Literature review: A.B., A.B., G.D.M., N.S.; Writing the article: A.B., A.B., V.D.M.; Critical review: M.C., N.O.; References and fundings: A.B., A.B.; Materials: N.S.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.