Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.

Biomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). This study aimed to analyze and compare the functional outcomes of patients treated for quadriceps tendon ruptures using sutur...

Full description

Bibliographic Details
Main Authors: Stefan Plesser, Mohammad Keilani, Gyoergy Vekszler, Timothy Hasenoehrl, Stefano Palma, Martin Reschl, Richard Crevenna, Stefan Hajdu, Harald Kurt Widhalm
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5858832?pdf=render
_version_ 1828770379484626944
author Stefan Plesser
Mohammad Keilani
Gyoergy Vekszler
Timothy Hasenoehrl
Stefano Palma
Martin Reschl
Richard Crevenna
Stefan Hajdu
Harald Kurt Widhalm
author_facet Stefan Plesser
Mohammad Keilani
Gyoergy Vekszler
Timothy Hasenoehrl
Stefano Palma
Martin Reschl
Richard Crevenna
Stefan Hajdu
Harald Kurt Widhalm
author_sort Stefan Plesser
collection DOAJ
description Biomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). This study aimed to analyze and compare the functional outcomes of patients treated for quadriceps tendon ruptures using suture anchors or transosseous sutures. Patients having undergone suture anchor repair or transosseous suture repair for quadriceps tendon rupture between 2010 and 2015 at one of the two participating hospitals were included. Patients from site A underwent TS repair (TS group) while patients from site B underwent SA repair (SA group). Exclusion criteria included previous or concomitant injuries of the involved knee, penetrating injuries and pre-existing neurological conditions. Clinical outcome was assessed by subjective scores (Lysholm and Tegner Scores, International Knee Documentation Committee (IKDC) Score, Visual Analog Scale (VAS) for pain), quadriceps isokinetic strength testing, Insall-Salvati Index (ISI), and physical examination. Non-parametrical statistical analysis was conducted using the Mann-Whitney U test. Twenty-seven patients were included in the study of which 17 patients (63%) were available for follow-up (SA group: 9, TS group: 8). All patients were male with a mean age of 62.7 (SD: 8.8) and 57.9 (SD: 12.7) years for the SA group and TS group, respectively. The groups did not differ in terms of demographic characteristics. No clinically significant differences were identified between the two groups. There were no re-ruptures in either group. Treatment of quadriceps tendon rupture using suture anchors provides a clinically valid alternative treatment to the gold-standard transosseous suture repair.
first_indexed 2024-12-11T14:06:07Z
format Article
id doaj.art-e8497b6edef740e5ac1098e2fc4de86d
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T14:06:07Z
publishDate 2018-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-e8497b6edef740e5ac1098e2fc4de86d2022-12-22T01:03:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01133e019437610.1371/journal.pone.0194376Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.Stefan PlesserMohammad KeilaniGyoergy VekszlerTimothy HasenoehrlStefano PalmaMartin ReschlRichard CrevennaStefan HajduHarald Kurt WidhalmBiomechanical studies have shown the use of suture anchors (SA) to be superior to the traditional transosseous sutures (TS) in the repair of quadriceps tendon rupture (QTR). This study aimed to analyze and compare the functional outcomes of patients treated for quadriceps tendon ruptures using suture anchors or transosseous sutures. Patients having undergone suture anchor repair or transosseous suture repair for quadriceps tendon rupture between 2010 and 2015 at one of the two participating hospitals were included. Patients from site A underwent TS repair (TS group) while patients from site B underwent SA repair (SA group). Exclusion criteria included previous or concomitant injuries of the involved knee, penetrating injuries and pre-existing neurological conditions. Clinical outcome was assessed by subjective scores (Lysholm and Tegner Scores, International Knee Documentation Committee (IKDC) Score, Visual Analog Scale (VAS) for pain), quadriceps isokinetic strength testing, Insall-Salvati Index (ISI), and physical examination. Non-parametrical statistical analysis was conducted using the Mann-Whitney U test. Twenty-seven patients were included in the study of which 17 patients (63%) were available for follow-up (SA group: 9, TS group: 8). All patients were male with a mean age of 62.7 (SD: 8.8) and 57.9 (SD: 12.7) years for the SA group and TS group, respectively. The groups did not differ in terms of demographic characteristics. No clinically significant differences were identified between the two groups. There were no re-ruptures in either group. Treatment of quadriceps tendon rupture using suture anchors provides a clinically valid alternative treatment to the gold-standard transosseous suture repair.http://europepmc.org/articles/PMC5858832?pdf=render
spellingShingle Stefan Plesser
Mohammad Keilani
Gyoergy Vekszler
Timothy Hasenoehrl
Stefano Palma
Martin Reschl
Richard Crevenna
Stefan Hajdu
Harald Kurt Widhalm
Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
PLoS ONE
title Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
title_full Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
title_fullStr Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
title_full_unstemmed Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
title_short Clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used - A pilot study.
title_sort clinical outcomes after treatment of quadriceps tendon ruptures show equal results independent of suture anchor or transosseus repair technique used a pilot study
url http://europepmc.org/articles/PMC5858832?pdf=render
work_keys_str_mv AT stefanplesser clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT mohammadkeilani clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT gyoergyvekszler clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT timothyhasenoehrl clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT stefanopalma clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT martinreschl clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT richardcrevenna clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT stefanhajdu clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy
AT haraldkurtwidhalm clinicaloutcomesaftertreatmentofquadricepstendonrupturesshowequalresultsindependentofsutureanchorortransosseusrepairtechniqueusedapilotstudy