Simultaneous Ruptures of All Four Extensor Mechanism Tendons in Both Knees: a Rare and Challenging Case in a Chronic Kidney Disease Patient Současné ruptury všech čtyř šlach extenzorového aparátu u obou kolen: vzácný a náročný případ u pacienta s chronickým onemocněním ledvina Rare and Challenging Case in a Chronic Kidney Disease Patient
Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca, cilt.92, sa.6, ss.362-366, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 92 Sayı: 6
- Basım Tarihi: 2025
- Doi Numarası: 10.55095/achot2025/040
- Dergi Adı: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE
- Sayfa Sayıları: ss.362-366
- Anahtar Kelimeler: knee, extensortendons rup-ture, chronic kidney disease
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
We report a rare and remarkable case of simultaneous bilateral injuries to all four extensor mechanism tendons in a 39-year-old male with a history of diabetes and chronic kidney disease. Physical examination revealed pro-nounced swelling, palpable gaps above and below both patellae, and complete loss of active knee extension. Imaging confirmed complete ruptures of the right quadriceps and left patellar tendons, alongside partial ruptures of the left quadriceps and right patellar tendons. Surgical repair was performed using suture anchors to ensure secure tendon reattachment. Postoperative-ly, both knees were immobilized with hinged braces for six weeks, followed by a structured rehabilitation program. At the 12-month follow-up, the patient demonstrated full recovery, with complete restoration of knee range of motion and muscle strength.