[article] 
inAnnals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 244-248

Titre :	Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients
Type de document :	texte imprimé
Auteurs :	Karima Belhaj, Auteur ; Hicham El Hyaoui, Auteur ; A. Tahir, Auteur
Année de publication :	2017
Article en page(s) :	p. 244-248
Langues :	Anglais (eng) Français (fre)
Mots-clés :	Tendon  Rééducation fonctionnelle  Patellar tendon rupture,Chronic rupture,Acute rupture,Outcome,Rehabilitation
Résumé :	Objective: We aimed to evaluate the clinical outcomes after surgical repair of patellar tendon rupture (PTR) and compare the evolution of 2 types of rupture (acute and chronic) after the same rehabilitation protocol. Methods: This was a prospective cohort study of patients with PTR treated between January 2006 and January 2014 in the department of trauma surgery, Ibn Rochd university hospital, Casablanca. Results: We evaluated 25 patients (21 men) after a median follow-up of 75 months (range 29–120). The mean age was 34.7+8.59 years. Overall, 17 patients had acute rupture and 8 chronic rupture. Fifteen healthy volunteers (13 men) were recruited as a control group. Mean Knee Society Score (KSS) knee score was significantly higher after than before surgery (82.28+12.297 vs 20.64+7.6; P <0.0001) as was KSS function score (88.40+17.483 vs 23.40+8.98; P <0.0001). Pain measured on a visual analog scale was significantly lower after than before surgery (1.96+1.24 vs 6.60+1.26; P <0.0001). ROM and KSS knee and function scores were significantly lower on the operated than non-operated side after surgery. For both types of PTR, only knee extensor muscle strength was significantly lower on the operated than non-operated side and as compared with healthy volunteer knees. Conclusions: Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus.
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[article] Long-term functional outcomes after primary surgical repair of acute and chronic patellar tendon rupture: Series of 25 patients [texte imprimé] / Karima Belhaj, Auteur ; Hicham El Hyaoui, Auteur ; A. Tahir, Auteur . - 2017 . - p. 244-248.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60, n° 4 (July 2017) . - p. 244-248

Mots-clés :	Tendon  Rééducation fonctionnelle  Patellar tendon rupture,Chronic rupture,Acute rupture,Outcome,Rehabilitation
Résumé :	Objective: We aimed to evaluate the clinical outcomes after surgical repair of patellar tendon rupture (PTR) and compare the evolution of 2 types of rupture (acute and chronic) after the same rehabilitation protocol. Methods: This was a prospective cohort study of patients with PTR treated between January 2006 and January 2014 in the department of trauma surgery, Ibn Rochd university hospital, Casablanca. Results: We evaluated 25 patients (21 men) after a median follow-up of 75 months (range 29–120). The mean age was 34.7+8.59 years. Overall, 17 patients had acute rupture and 8 chronic rupture. Fifteen healthy volunteers (13 men) were recruited as a control group. Mean Knee Society Score (KSS) knee score was significantly higher after than before surgery (82.28+12.297 vs 20.64+7.6; P <0.0001) as was KSS function score (88.40+17.483 vs 23.40+8.98; P <0.0001). Pain measured on a visual analog scale was significantly lower after than before surgery (1.96+1.24 vs 6.60+1.26; P <0.0001). ROM and KSS knee and function scores were significantly lower on the operated than non-operated side after surgery. For both types of PTR, only knee extensor muscle strength was significantly lower on the operated than non-operated side and as compared with healthy volunteer knees. Conclusions: Surgical repair of PTR with reinforcement and an early rehabilitation program demonstrate good results after a long follow-up. However, chronic PTR may need longer or a different rehabilitation protocol of the knee-extensor apparatus.
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