Patellar Tendon Tear Treatment Options
Can a Patellar Tendon Rupture Be Treated Without Surgery?
In some cases, if the patellar tendon is only partially torn, treatment without surgery might be possible. This treatment includes:
- Rest: Taking a break from activities that strain the knee.
- Immobilization: Using a locked hinged knee brace that keeps the knee straight.
- Physical Therapy: Exercises to strengthen and improve movement.
- Extracorporeal Shock Wave Therapy: A treatment that uses sound waves to improve healing.
However, if the tendon is completely ruptured, surgery is needed to fully restore knee function. Even with a partial rupture, if you can’t lift your leg straight and hold it without bending it, surgery might be recommended.
Surgery for a patellar tendon rupture usually involves:
Reattaching the Tendon: Using sutures (sewing thread) or non-metal anchors to connect the torn tendon back to the patella (kneecap).
For chronic or long-term injuries, we might suggest:
Tendon Reconstruction: Using a graft from the Achilles tendon (donor tissue) or a biologic patch called Regeneten. Regeneten is made from collagen and helps the tendon heal and grow back stronger.
After surgery, here’s what to expect:
Using Crutches: You can put weight on your leg with crutches as long as your knee is locked completely straight in a brace or cast.
Wearing a Knee Brace: You will wear a hinged brace for 6 weeks, initially keeping the knee straight.
Physical Therapy: Starts right after surgery to help improve movement and strength. Full recovery usually takes 6 months to a year.
If a patellar tendon rupture is not treated:
Chronic Knee Pain: Long-lasting pain in the knee.
Weakness and Loss of Function: Difficulty walking or using the knee.
Increased Risk of Osteoarthritis: Wear and tear that can lead to arthritis over time particularly under the kneecap.
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