<p>Quadriceps tendon ruptures are rare injuries but can pose significant challenges due to their complex pathology and limited evidence base. Meticulous diagnostics and a differentiated surgical planning are crucial for successful treatment. In particular, reruptures and chronic lesions are often associated with additional challenging factors, including advanced patient age, relevant comorbidities, tendon retraction and distal patellar displacement. Treatment options include tendon reconstruction with or without vastus muscle advancement, V‑Y&#xa0;tendon lengthening and the use of autografts or allografts. An individualized treatment taking possible comorbidities and risk factors into account is decisive for the success of treatment.</p>

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Management der Quadrizepssehnenruptur

  • Anja M. Wackerle,
  • Andrea Achtnich,
  • Julian Mehl,
  • Lukas Willinger,
  • Sebastian Siebenlist,
  • Armin Runer

摘要

Quadriceps tendon ruptures are rare injuries but can pose significant challenges due to their complex pathology and limited evidence base. Meticulous diagnostics and a differentiated surgical planning are crucial for successful treatment. In particular, reruptures and chronic lesions are often associated with additional challenging factors, including advanced patient age, relevant comorbidities, tendon retraction and distal patellar displacement. Treatment options include tendon reconstruction with or without vastus muscle advancement, V‑Y tendon lengthening and the use of autografts or allografts. An individualized treatment taking possible comorbidities and risk factors into account is decisive for the success of treatment.