Traitement des ruptures négligées du tendon rotulien (Ã propos de deux cas)

The authors report two cases of neglected patellar ligament rupture treated surgically. The repair was made by suture of the tendon rotulien strengthened by a fragment of the vast medial associated with a hooping to the son of steel for the first case; and a reconstruction with transplant free bone-tendon-bone taken in depend on the knee controlateral, supported by a centring to the son of steel in 90°de flexion for the second case. No postoperative immobilization is made allowing beginning at once the re-education. The functional result was excellent on the active extension but with a sequellaire steepness concerning the flexion for the first patient. The surgical technique must be individually adapted; the centring of protection must be systematic but realized carefully to avoid the frequent abnormalities of location of the kneecap and the fémoro-patellaires conflicts and authorizing a fast reeducation. Through a review of the literature, we recall difficulties of care of this injury even on the diagnosis and therapeutic levels.