The SPECIALIST'S OFFICE > Ruptured patellar tendon or ruptured quadriceps tendon

Quad Tendon Re-rupture

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quadder:
Hi guys,
As this is my first post on the board I don't know if I'm in the correct section so, apologies if not.
My problem is I completely ruptured the quad tendon from my kneecap of my right leg back in October 2011, surgery followed the following day.
I was in an adjustable leg brace for 8 weeks and adjustments made to allow increased movement after 2 weeks, 4 weeks, 6 weeks untill the brace was removed after 8 weeks.
A week later I commenced  physio and all seemed to be going well then mid February the knee gave way and it was diagnosed that the repair had partially re- ruptured. Consequently I was in a leg brace for a further 10 weeks. The specialist was convinced that this action would be just as effective as any further surgery involving an augmented repair as the two sides of the quad muscle where still attached to my kneecap and he believed that the gap created by the re-rupture would, in time, fill in with scar tissue.
The specialist discharged me from his clinic in the last week of May saying that improvement will gradually happen however it will be a long job.
The majority of the time the knee is without pain however I have lost confidence moving about outdoors as the leg still feels unstable.
The physio also reiterates that it will be a long job and to keep plugging away with the physio excersises.

If anyone has experienced what I have gone/going through, I would appreciate if you would  please tell me of your progress, problems, time scale etc.

Thanks,

Quadder.

quadder:
Seems that I am unique to this injury/situation as there is not much advice/comments being offered so, another querie then :-
Can anyone suggest a suitable knee brace which will aid in the stability of the joint and maybee replicate the action of the quad tendon in preventing the knee "giving way".

chris12983:
Hi Quadder, I don't get on too much right now because basically I'm going through the same type of issues as you, with a few added twists. Little history:

Jan. '05- ACL reconstruction with debridement of both medial and lateral meniscus
Aug. '08- ACL revision with debridement and partial menisciotomy
Apr '10- ACL revision with debridement and general cleaning of knee
Nov '10- Grade 4 chondromalacia attempted to be repaired by microfracture
Nov '11- Microfracture failed so I had DeNovo NT cartilage implant inserted into a 2x3cm hole that was basically the whole patello-femoral groove.
Dec '11- 9 days after surgery, slipped in restroom hyperflexxing  my knee and rupturing my quad tendon. Vastus Medialis mainly with damage to other areas. Had emergency surgery to repair    this. Knew within 2 weeks though that something was still not quite "right" in there.
Jan-June '12- Repeated visits to doctor, ultrasound, and 2 MRI's showing they couldn't find any major damage. Doctor said screw tests, there is something obviously wrong. Ended up doing an exploratory surgery on July 2nd. Results and findings were very interesting. The sutures and anchors that had been used to secure the repaired tendon had caused a reaction in my knee. My body found them to be invaders and basically attacked them. I had a golf ball sized wad of hard as a rock scar tissue that had surrounded the sutures and they were migrating away from the original area. This caused the muscle and tendon to re-tear and was also causing severe pain and atrophy of my quad to occur. Doctor was able to remove all scar tissue, re-do the repair with a different kind of suture and anchors. I was in the hospital for 3 days and now I am in an immobilizer for the next 6-8 weeks followed by a hinged brace for another 3 months after that. I probably will not start PT for another 4-6 weeks due to my imjury history and the doctor wanting me to get plenty of rest and let the quad heal.
I am only 30 years old with an extensive knee history. Docs said if I would have been 45 years oldd, he would have done a TKR almost 3 years ago.

Now to actually get to your question. From everything that I have read and what I have experienced myself, even a partial quad tear sometimes needs to be surgically repaired. Your age, location of tear, length of time it has been torn all play a role in whether surgery is an option or not. My particular case is a bit different because I was injured at work and have been on workers comp now for several years. This has caused me to be seen by many different specialists. I have seen 3 comp doctors, 2 orthos of my choice, and also got a 6th opinion from a specialist that is a colleague of one of my other doctors. The common theme is my knee is screwed, I'll never be anywhere near the same I was before injury, I need to get a desk job where I do no lifting, pushing, standing, carrying, etc. What I'm saying is, get multiple opinions, do whatever your supposed to do, and if you feel there is something wrong, don't let anyone tell you otherwise. If I hadn't persisted and my doctor hadn't listened, I could have had some real problems later on such as infections and would have even posiiibly had to have my leg amputated. You know your body and you know when something iis out of whack. Be persistent.

As for leg braces, over the counter ones are basically worthless, in my opinion anyway. You need to ask your treating physician what they would recommend. Some say braces don't really work and are only there for peace of mind. Ask questions and get recommendations, and if need be, get other opinions from other doctors.

Sorry for the novel. I'm laid up in bed and am starving for human contact lol. Any questions, feel free to PM me. Hope I helped, even a little.

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