Abstract
Three fresh ruptures of the patellar tendon and 4 fresh avulsion fractures of the patellar tendon, 2 inferior pole of the patella and 2 at the tibial tubercle, were surgically treated by modified McLaughlin's procedure in order to do early rehabilitation. 5 of them were men, and 2 were women. The mean age was 43.0 years (range: 20 to 72 years). The ruptures or the avulsion fractures were repaired, and the AO wire suture was placed just proximal to the patella through the quadriceps tendon, made figure-of-eight over the patella and was anchored to the AO cortical screw through the tibial tubercle. The wire tension was determined so as not to incur significant tension at the repair site on knee motion, this resulted in slight patella infra. The wire was removed 2 to 3 months after surgery. The clinical result was excellent on simple injury, and was worse on combined injury. The patella infra was improved after removal of the wire on simple injury in young patients.
