Article

OBJECTIVE: We aimed to evaluate the clinical outcomes after surgical repair of
patellar tendon rupture (PTR) and compare the evolution of 2 types of rupture
(acute and chronic) after the same rehabilitation protocol. METHODS: This was a
prospective cohort study of patients with PTR treated between January 2006 and
January 2014 in the department of trauma surgery, Ibn Rochd university hospital,
Casablanca. RESULTS: We evaluated 25 patients (21 men) after a median follow-up
of 75 months (range 29-120). The mean age was 34.7+/-8.59 years. Overall, 17
patients had acute rupture and 8 chronic rupture. Fifteen healthy volunteers (13
men) were recruited as a control group. Mean Knee Society Score (KSS) knee score
was significantly higher after than before surgery (82.28+/-12.297 vs
20.64+/-7.6; P<0.0001) as was KSS function score (88.40+/-17.483 vs 23.40+/-8.98;
P<0.0001). Pain measured on a visual analog scale was significantly lower after
than before surgery (1.96+/-1.24 vs 6.60+/-1.26; P<0.0001). ROM and KSS knee and
function scores were significantly lower on the operated than non-operated side
after surgery. For both types of PTR, only knee extensor muscle strength was
significantly lower on the operated than non-operated side and as compared with
healthy volunteer knees. CONCLUSIONS: Surgical repair of PTR with reinforcement
and an early rehabilitation program demonstrate good results after a long
follow-up. However, chronic PTR may need longer or a different rehabilitation
protocol of the knee-extensor apparatus.
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Langue : ANGLAIS