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            [0] => reconstruction of chronic quadriceps tendon rupture using autologous semitendinosus graft: a case report
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    [etablissement] => Array
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            [0] => service de chirurgie orthopedique et traumatologie
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    [nom] => Array
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            [0] => mansi
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    [prenom] => Array
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            [0] => zied
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            [0] => doc.zm@hotmail.fr
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Nom prénom: chatbouri farouk
Email: chatbourifarouk@gmail.com
Hôpital: hopital ibn jazzar kairouan

 
Nom prénom: chneti islem
Email: chneti.islem@gmail.com
Hôpital: hopital ibn jazzar kairouan

 
Nom prénom: haggui ali
Email: 
Hôpital: hopital regional kasserine

 
Nom prénom: rbai hedi
Email: 
Hôpital: hopital ibn jazzar kairouan

        )

    [mots_cles] => Array
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            [0] => quadriceps tendon;
chronic rupture;
repair;

        )

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            [0] => 3663
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            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/CHRONIC-QUADRICEPS-TENDON-RUPTURE1.docx
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    [user_email] => Array
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            [0] => Chatbourifarouk@gmail.com
        )

    [specialite] => Array
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            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
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            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Introduction:
 Chronic quadriceps tendon rupture is a relatively rare injury that can be challenging to treat . Several techniques have been described for chronic quadriceps tendon repair, including the use of autografts, allografts, and synthetic mesh. 
Case Presentation: 
A 17-year-old male presented with left knee pain since 8 months ago after he fell into a ditch. Physical examination demonstrated palpable gap on suprapatellar region. Magnetic resonance imaging demonstrated quadriceps discontinuity and hyperintensity surrounding the insertion of the quadriceps tendon. The patient underwent quadriceps tendon reconstruction using ipsilateral autologous semitendinosus graft. After 3 weeks the patient was sent for physiotherapy to regain his left knee’s range of motion. At final follow up at six months, patient was able to walk with bipedal unassisted normal gait. Active knee extension and straight leg raising was possible. Final knee range of motion was from 0° to 130°
 Discussion: 
In this case, we demonstrated a successfully treated chronic quadriceps tendon rupture using autologous semitendinosus graft. For cases of chronic quadriceps tendon rupture with tissue loss, it is advisable to utilise an autologous graft for the purpose of repairing and restoring the structure and function of the quadriceps tendon. 
Conclusion:
 Surgical treatment of chronic quadriceps tendon rutpure is challenging and lacks evidence-based guidelines. We propose the use of ipsilateral semitendinosus tendon autograft as choice for chronic quadriceps tendon rupture in this report, as it leads to favorable outcome postoperatively.
        )

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