Abstract
Patellar tendon rupture rarely occurs in adults without systemic diseases. We report two cases of fresh patellar tendon rupture treated with augmentation using the Leeds-Keio artificial ligament. The remnants of the ruptured tendon were preserved. The artificial ligament was passed transversely through the distal end of the quadriceps tendon along the proximal margin of the patella and it crossed itself in front of the patella in a cross shape. Both ends of the implant were passed through a transverse tunnel drilled through the tibial tuberosity. CPM exercise was begun on the second day after surgery. Active knee extension was permitted at three weeks postoperatively. The advantages of this method are there is no need for immobilization and that rehabilitation is much quicker.
