A 51-year-old woman, affected by end-stage renal disease, presented with 16-month-old ruptures of the right patellar tendon and the left quadriceps tendon. Since she had been nonambulatory for more than a year, the authors decided to perform a bilateral one-staged reconstruction with an Achilles tendon allograft on the right side and a full extensor mechanism allograft on the left side, achieving excellent clinical and functional results at 57 months’ follow-up.
Bilateral spontaneous rupture of the extensor mechanism of the knee is a rare but dramatic occurrence. Allograft can be considered as a treatment option in case of chronic lesion or delayed reconstruction, with satisfactory midterm outcomes.
1IFCA, Istituto Fiorentino di Cura e Assistenza, Florence, Italy
2Ospedale di Ostuni, Ostuni, Italy
3Ospedale Policlinico Università di Bari, Piazza Giulio Cesare, Bari, Italy
E-mail address for A. Lamberti: firstname.lastname@example.org
Investigation performed at IFCA, Istituto Fiorentino di Cura e Assistenza, Florence, Italy
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