Immediate mobilization after iliotibial band augmentation of neglected transection of the patellar tendon

Abstract

Patellar tendon ruptures are treated surgically. Whether immediate or delayed; primary repairs have generally been supported with some sort of patellotibial transfixation if early mobilization is desired. Neglected cases on the other hand have been augmented with autografts. Here we present a case of neglected complete transection of the patellar tendon. Although patella had not migrated proximally, the repair should have to be strong enough to bear the forces generated by the quadriceps on the extensor knee mechanism. We also intended to perform a repair that would allow immediate mobilization without adding the potential complications of internal hardware. A strip of iliotibial band was the preferred autograft to be used for patellotibial cerclage. With immediate physiotherapy, the patient progressed very well and regained full active motion at 8th week. This technique seems to be appropriate especially for salvage of acute ruptures.