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. 2020 Dec 19;10(1):e9-e13.
doi: 10.1016/j.eats.2020.09.003. eCollection 2021 Jan.

Distal Patellar Tendon SpeedBridge Repair

Mark T Rose  1 , Paul E Caldwell 3rd  1   2 , Scott Vizzi  1 , Sara E Pearson  1
Affiliations

Distal Patellar Tendon SpeedBridge Repair

Mark T Rose et al. Arthrosc Tech. .

Abstract

Patellar tendon ruptures are rare injuries in young athletes, resulting in disruption of the extensor mechanism, and require surgery for functional recovery. Several techniques have been reported, including end-to-end repair and single-row suture anchor constructs. The strength of these repairs has been questioned, and they are commonly augmented. We endorse a double-row repair technique that provides an anatomic restoration of the footprint, has high fixation strength, eliminates the need for graft augmentation, and allows early motion.

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Figures

Fig 1
Fig 1
Posterior aspect of the distal patellar tendon (white arrow) after avulsion in preparation for distal patellar tendon SpeedBridge repair. The anterior aspect of the left knee is shown in extension after a midline approach.
Fig 2
Fig 2
Insertion of the first anchor (white arrow) of the proximal row in the proximal tibia during distal patellar tendon SpeedBridge repair. The anterior aspect of the left knee is shown in extension after a midline approach.
Fig 3
Fig 3
Proximal-row sutures and tape (white arrow) passed through the distal patellar tendon during distal patellar tendon SpeedBridge repair. The anterior aspect of the left knee is shown in extension after a midline approach.
Fig 4
Fig 4
Insertion of the 2 distal-row anchors (white arrows) in the proximal tibia using a crisscross suture configuration during distal patellar tendon SpeedBridge repair. The anterior aspect of the left knee is shown in extension after a midline approach.
Fig 5
Fig 5
Double-pulley technique (white arrow) to secure the distal end of the patellar tendon during distal patellar tendon SpeedBridge repair. The anterior aspect of the left knee is shown in extension after a midline approach.
Fig 6
Fig 6
Final double-row SpeedBridge repair of a distal patellar tendon avulsion (white arrow). The anterior aspect of the left knee is shown in extension after a midline approach.
See this image and copyright information in PMC

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