Tears in the quadriceps tendon are rare, but potentially devastating injuries. The quadriceps tendon is the confluence of the...
Quadriceps Tendon Repair
Evolution of Quadriceps Tendon Repair
Suture anchor repair has demonstrated to be a viable option for treating quadriceps tendon ruptures. These suture anchor-based repairs have the strength equivalent to bone tunnel repairs and avoids the potential complication of postoperative fracture. Likewise, the anchors can be placed through a smaller incision than using tunnels. Thick, tough sutures can be used to improve the strength of the suture-tendon interface, and lead to a stronger repair construct than surgeon-tied knots. Additional minimally invasive techniques have been used to help decrease post-operative pain and give a more cosmetically appealing result.
The Arthrex Percutaneous Achilles Repair System (PARS) is used for a wide assortment of tendon injuries to include quadriceps, patella, and achilles tendon ruptures. The minimally invasive PARS system helps facilitate consistently reliable capture of the quadriceps tendon and without the need for large incisions, which are associated with a higher risk of complications and scarring.
The anatomically contoured guide can be re-used, while the suture and passing needles come packaged in a convenient kit. The kit has a locking option allowing the surgeon to incorporate a locked FiberWire suture on both ends of the ruptured tendon. This results in a stronger repair than just passing transverse sutures across the tendon like other minimally invasive devices on the market. Finally, the PARS system allows the healed tendon to achieve a more natural contour, unlike the typical hypertrophic tendon resulting from open repair.