Quadriceps Tendon Repair

Surgical Repair to Restore Strength and Function in the Knee after Quadriceps Tendon Rupture.

The quadriceps tendon plays a critical role in knee movement, allowing you to straighten your leg and perform essential functions such as walking, climbing stairs, and standing from a seated position. Located at the front of your thigh, the quadriceps tendon connects the quadriceps muscle group to the patella (kneecap). Injuries to this tendon—whether a partial tear or a complete rupture—can significantly impair mobility and cause pain, weakness, and loss of function.

When the quadriceps tendon is torn, surgical repair is often necessary to restore strength and function. This guide provides an in-depth overview of quadriceps tendon repair surgery, helping you understand the procedure and what to expect during recovery.

WHEN QUADRICEPS TENDON REPAIR SURGERY MIGHT BE RECOMMENDED

Quadriceps tendon repair surgery might be recommended for patients who have experienced a significant tear or rupture of the tendon, typically due to an acute injury or trauma. Common causes of quadriceps tendon injuries include falls, direct trauma to the knee, or sudden twisting movements. Symptoms such as severe pain, swelling, and the inability to extend the knee or walk properly are often present in patients with tendon tears.

Partial tears may sometimes be managed with conservative treatments like physiotherapy and bracing. However, complete ruptures often require surgical intervention to reattach the tendon to the patella and restore full knee function.

THE QUADRICEPS TENDON REPAIR SURGICAL PROCEDURE

The goal of quadriceps tendon repair surgery is to reattach the torn tendon to the patella, restoring its function and allowing the knee to move properly again. Dr Liddell performs this surgery under general anaesthesia, and the procedure generally involves the following steps:

Incision and Exposure: An incision is made along the front of the knee to expose the torn quadriceps tendon and the patella. The size and location of the incision will depend on the extent of the injury and the need for access to the damaged tissue.
Cleaning the Injury Site: Once the tendon is exposed, Dr Liddell will carefully remove any debris, scar tissue, or loose fragments around the tear to prepare the tendon for reattachment. This step ensures that the tendon will heal properly after surgery.
Reattachment of the Tendon: To repair the tear, the quadriceps tendon is reattached to the patella using specialised surgical sutures or anchors. Dr Liddell will ensure that the tendon is securely fastened to the bone and properly aligned. This allows for optimal healing and ensures that the tendon can withstand the forces of daily movement and activity.
Closing the Incision: After the tendon has been successfully repaired, the incision is closed with sutures, and a sterile dressing is applied to the area. In some cases, a knee brace or immobiliser may be used to protect the repair during the initial stages of healing.

RECOVERY AND REHABILITATION AFTER QUADRICEPS TENDON REPAIR

Recovery from quadriceps tendon repair surgery is a gradual process that requires patience and commitment to a physiotherapy program. The early stages of recovery focus on protecting the tendon and minimising weight-bearing activities. You will likely need to use crutches or wear a brace for several weeks to support your knee and allow the tendon to heal.

Physiotherapy begins shortly after surgery and plays a crucial role in restoring strength, flexibility, and range of motion to the knee. Dr Liddell and your physiotherapist will work together to develop a tailored rehabilitation program based on your specific needs and recovery progress.

RECOVERY TIMELINE:

First 6 Weeks: The focus is on protecting the repair, managing pain, and beginning gentle range-of-motion exercises. During this period, you may need to wear a brace or use crutches to limit movement.
6 to 12 Weeks: As the tendon heals, you will gradually increase weight-bearing activities and begin more intense physiotherapy exercises to restore strength and flexibility.
3 to 6 Months: By this stage, most patients are able to resume regular daily activities, though strenuous activities and sports may still be limited.
6 to 12 Months: Full recovery, including a return to high-impact sports or physically demanding activities, may take up to a year, depending on the severity of the injury and the success of rehabilitation.

LONG-TERM OUTCOMES FOLLOWING QUADRICEPS TENDON REPAIR

Quadriceps tendon repair surgery has a high success rate, with most patients regaining full function and strength in their knee. Successful outcomes depend on early diagnosis, appropriate surgical intervention, and a dedicated rehabilitation program. Dr Liddell will provide you with personalised care and guidance throughout your recovery to ensure the best possible outcome.