Fractures of the Distal Femur Associated With a Complete Quadricipital Tendon Injury: Report of Two Cases

Keywords: Fracture, distal femur, injury, quadricipital tendon, extensor mechanism

Abstract

Fractures of the distal femur, especially open fractures, occur in association with high-energy trauma. The presence of associated injuries around the knee is common; however, the association with a complete quadricipital tendon injury has been poorly documented. Early diagnosis and adequate treatment of both injuries is essential to achieve good postoperative outcomes. We present two cases of exposed intra-articular distal femoral fractures associated with complete quadricipital tendon injuries. The repair of the associated tendon injury with transosseous tunnels after fracture fixation allows an early rehabilitation protocol, essential to obtain good functional outcomes.

Downloads

Download data is not yet available.

Author Biographies

María Cristina Irigoyen, Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina
Fernando Bidolegui, Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina
Sebastián Pereira, Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina
Orthopedics and Traumatology Service, Hospital Sirio Libanés, Autonomous City of Buenos Aires, Buenos Aires, Argentina

References

Loosen A, Fritz Y, Dietrich M. Surgical treatment of distal femur fractures in geriatric patients. Geriatr Orthop Surg Rehabil 2019;10:1-5. https://doi.org/10.1177/2151459319860723

Dugan TR, Hubert MG, Siska PA, Pape H, Tarkin IS. Open supracondylar femur fractures with bone loss in the

polytraumatized patient – Timing is everything! Injury 2013;44(12):1826-31. https://doi.org/10.1016/j.injury.2013.03.018

Roy D, Ramski D, Malige A, Beck M, Jeffers K, Brogle P. Injury patterns and outcomes associated with fractures

of the native distal femur in adults. Eur J Trauma Emerg Surg 2019;47(4):1123-8. https://doi.org/10.1007/s00068-019-01287-y

Kar S. Full thickness tear of quadriceps tendon associated with closed intra-articular distal femur fracture: a case report. Case Rep Orthop Res 2021;4(2):131-7. https://doi.org/10.1159/000516334

Bidolegui F, Pereira S, Irigoyen C, Pires RE. Safety and efficacy of a novel retrograde route for femoral bone graft harvesting by Reamer‑Irrigator‑Aspirator: a pilot study on 24 patients. Patient Saf Surg 2022;16(1):4-9.

https://doi.org/10.1186/s13037-021-00315-4

Lečenja R, Tetive P, Mišića Č. Quadriceps tendon rupture – Treatment results. Med Pregl 2013;66(11-12):453-8.

https://doi.org/10.2298/MPNS1312453P

Munera MRA, Pereira S, Bidolegui F. Lesiones tendinosas del aparato extensor de la rodilla: Protocolo de

tratamiento y rehabilitación. Rev Asoc Argent Ortop Traumatol 2021;86(3):291-8.

https://doi.org/10.15417/issn.1852-7434.2021.86.3.1195

Nori S. Quadriceps tendon rupture. J Family Med Prim Care 2018;7(1):257-60. https://doi.org/10.4103/jfmpc.jfmpc_341_169

Zuke WA, Go B, Weber AE, Forsythe B. Quadriceps tendon rupture in an adolescent athlete. Case Rep Orthop

;2017:271801. https://doi.org/10.1155/2017/2718013

Hochheim MC, Bartels EM, Iversen JV. Quadriceps tendon rupture. Anchor or transosseous suture ? A systematic review. Musc Lig Tendons J (MLTJ) 2019;9(3):356-62. https://doi.org/10.32098/mltj.03.2019.09

Published
2022-04-18
How to Cite
Irigoyen, M. C., Bidolegui, F., & Pereira, S. (2022). Fractures of the Distal Femur Associated With a Complete Quadricipital Tendon Injury: Report of Two Cases. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(2), 238-245. https://doi.org/10.15417/issn.1852-7434.2022.87.2.1502