Semitendinosus autograft augmentation after bilateral patellar tendon re-rupture: a case report and technique note

  • Alexander von GlinskiEmail author
  • Emre Yilmaz
  • Valentin Rausch
  • Matthias Königshausen
  • Thomas Armin Schildhauer
  • Dominik Seybold
  • Jan Geßmann
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Acute bilateral patellar tendon rupture is a rare occurrence, especially in young patients in the absence of comorbidities. We describe a case of bilateral patellar tendon re-rupture in a young patient without predisposing factors. Further, we explain a technique for autograft augmented patellar tendon repair with bidirectional fixation using an ipsilateral semitendinosus graft in transosseous patellar and tibia bone tunnels.

Case presentation

We present the case of a 40-year-old healthy worker with bilateral acute on chronic patellar tendon rupture maintained following initial trauma and Krackow repair 2 years ago. He underwent bilateral reconstruction using semitendinosus autograft. At 1 year postoperatively, he has maintained the full range of motion and strength without re-rupture.


This is the first case describing a new fixation technique after bilateral patellar tendon re-rupture. The use of semitendinosus autograft for reconstruction of the patellar tendon after re-rupture is a viable and effective option.


Patella tendon rupture Autograft augmentation technique Re-rupture Bilateral 


Compliance with ethical standards

Conflict of interest

Alexander von Glinski, Emre Yilmaz, Valentin Rausch; Matthias Koenigshausen, Thomas Armin Schildhauer, Dominik Seybold and Jan Gessmann declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General and Trauma SurgeryBG University Hospital, BochumBochumGermany
  2. 2.Swedish Neuroscience Institute, Swedish Medical CenterSeattleUSA
  3. 3.Hansjörg Wyss Hip and Pelvis CenterSwedish HospitalSeattleUSA

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