ArticleJournal of surgical case reports2026
Complex patellar tendon reconstruction using a peroneus longus autograft and structural cortical bone graft after multiple failures: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
Patellar tendon rupture is an uncommon but disabling injury of the knee extensor mechanism. Chronic rupture and repeated repair failure are associated with tendon degeneration, patella alta, and compromised bone stock, making reconstruction challenging and without a standardized approach. We report a 41-year-old male with spontaneous patellar tendon rupture following tendinopathy, with two failed repairs evolving to re-rupture, patella alta, and severe bone loss of the inferior patellar pole. Reconstruction was performed using suture anchors, structural autologous cortical bone graft from the distal tibia, and augmentation with a peroneus longus tendon autograft. At 26 weeks, the patient achieved full active extension, range of motion from 0° to 120°, improved patellar height, and significant functional recovery. This combined biological and structural approach may represent a viable option in complex revision cases with tendon and bone deficiency.
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