PMC4764314_01
Skin ecchymosis in supra-patellar of the left knee
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F0001
The clinical exam showed skin ecchymosis (Figure 1) and palpable supra-patellar depression (Figure 2), active extension of the knee was impossible and neuro-vascular status of the left lower limb was normal.
Knee examination showing depression in supra-patellar
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F0002
The clinical exam showed skin ecchymosis (Figure 1) and palpable supra-patellar depression (Figure 2), active extension of the knee was impossible and neuro-vascular status of the left lower limb was normal.
Surgical exploration showing complete rupture of quadriceps tendon onto the vastus intermedius
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F0003
The patient was transferred to the operating room; after a vertical anterior approach centered on the patella, the tendon tear was confirmed (Figure 3) and an end-to-end Krackow sutures, associated with bone suture to the proximal pole of the patella were possible using Vicryl n  2 (Figure 4).The knee was immobilized in a plaster to protect tendon repair for 6 weeks.
Krackow sutures associated with bone reinforcement of the tendon
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F0004
The patient was transferred to the operating room; after a vertical anterior approach centered on the patella, the tendon tear was confirmed (Figure 3) and an end-to-end Krackow sutures, associated with bone suture to the proximal pole of the patella were possible using Vicryl n  2 (Figure 4).The knee was immobilized in a plaster to protect tendon repair for 6 weeks.