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Lateral knee X-Rays showed increased Insall-Salvati Index (Left: 2.0, Right: 2.1).
Fig. 1c. Intra-op findings of a patellar tendon rupture occurring at the inferior pole, with damage to the retinaculum. Fig. 1d. Left and right patellar tendons were repaired surgically using non-absorbable suture Krakow stiches. Fig. 1e. The repair was re-enforced with non-absorbable mesh tape arranged in a figure-of-eight pattern around the circumference of the patella and through a horizontal drill-hole in the tibial tubercle.
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X-rays revealed an increased Insall-Salvati Index on both sides (Left: 2.0, Right: 2.1) with bony avulsion, inferior to the left patella, most likely arising from the inferior pole (Fig. 1a/1b). Our definitive management involved a traditional, direct primary surgical repair with non-absorbable transosseous Krakow whip sutures augmented with a surrounding non-absorbable mesh tape (Fig. 1d). The retinaculum was repaired bilaterally (Fig. 1e).