Journal: Arthroscopy Techniques
Article Title: Combined Transosseous and Osteosynthetic Reconstruction of Chronic Patellar Tendon Rupture Using Achilles Tendon Allograft With Bone Block
doi: 10.1016/j.eats.2025.103537
Figure Lengend Snippet: (A) With the patient supine and with anterior midline exposure of the right lower extremity, the introduction of the allograft involves placing the “donor” calcaneal bone block into the “recipient” tibial tuberosity trough (arrow 1) and provisionally fixing it in place with two parallel K-wires prior to definitive fixation with cannulated, partially-threaded screws. (B) The graft limb whipstitches are then shuttled through their respective patellar tunnels (arrow 2) using passing sutures. When the patella is reduced, and the native height is confirmed fluoroscopically, the graft limbs are secured using 5.5 mm-biocomposite interference screws (arrow 3) in each patellar tunnel (C). The medial (arrow 4) and lateral (arrow 5) retinacular defects are then closed with No. 2 nonabsorbable ultra-high-molecular-weight polyethylene suture.
Article Snippet: The patella is secured over the graft limbs using Arthrex 5.5-mm biocomposite interference screws in each tunnel.
Techniques: Blocking Assay, High Molecular Weight