gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

A new technique for repair of quadriceps tendon rupture by transpatellar PDS-Cerclage

Meeting Abstract

  • corresponding author H. Hosseini - Henriettenstiftung, Marienstr. 72-90, 30171 Hannover, Klinik für Unfall-und Wiederherstellungschirurgie, Hannover
  • J. Agneskirchner - Hannover
  • P. Lobenhoffer - Hannover

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novK2.03

The electronic version of this article is the complete one and can be found online at:

Published: June 13, 2005

© 2005 Hosseini et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




Since complete ruptures of the quadriceps tendon lead to loss of active extension of the knee joint, operative treatment is usually indicated. Several techniques are described in the literature. However relatively little is known about the functional outcome after operative treatment of acute quadriceps tendon ruptures.

We present a new operative technique using a 1,3 mm PDS-cord passed through a transverse drill hole in the proximal pole of the patella.


We operated 10 consecutive cases of complete quariceps tendon ruptures with our technique between January 2000 and June 2003. After a straight midline incision the quadriceps tendon and the patella are exposed. The fried tendon end are debrided. A 2,5 mm transverse drill hole is placed in the proximal patella. A 1,3 mm PDS- cord is placed through the patella. Using a perforating instrument the fiber is pulled through the quadriceps tendon. The ends of the suture are tied at leat 6-8 cm proximal of the superior pole of the patella with the knee in full extension.


8 of 10 patients were evaluated after a mean follow-up time of 38 months. No complications were noted in this period. The average postoperative Scores were 87 (IKDC), 98 (Lysholm) and 4,5 (Tegner). Isokinetic testing showed an average of 25% quadriceps strength deficit.


The operative treatment of complete quadriceps tendon ruptures using a PDS-cord through a drill hole in the patella is a safe and effective technique permitting functional postoperative treatment.