SPORTS PROCEDURES

Quadriceps & patella tendon rupture repair

The kneecap (or the patella) acts as a pulley to on the quadriceps muscle to manage the force of the muscle. The tendon that connects the kneecap to the quadriceps muscle can become damaged or rupture when landing from a jump or fall that causes excessive knee flexion, or due to a force on the tendon. While ruptures of the patellar and quadriceps tendon are fairly rare, this is an injury which requires immediate repair to re-establish the motion of the knee.

What would surgery entail?

Surgery is required to repair the quadriceps & patella tendon and obtain the optimal outcome. Under general anaesthesia, the torn tendon can be repaired. Occasionally, a small tunnel through the patella is drilled, to augment the repair. The other end of the tendon is then attached to the quadriceps muscle with sutures.

What can I expect after surgery?

While some pain and swelling can be expected for the next few weeks, you will be given medication to help with the pain and be advised to keep your leg elevated to assist with swelling. With crutches or walking aid, you will be advised to walk to enhance the mobility of the joint. Your orthopaedic surgeon will then brace your knee to ensure the knee stays in a stable position, unable to bend and loosen the repair. After 6 weeks, you will be advised to begin certain exercises with the help of a physiotherapist. These should help you regain strength and motion of the knee and quadriceps. Your recovery will depend on how quickly you were able to get treatment after your injury. The quicker the reconstruction was done after rupture, the better. A full recovery may take up to 5 months, after which sports and vigorous physical activities can be resumed.