Quadriceps Tendon Tears and Repair

The quadriceps tendon is a thick band of tissue that connects the quadriceps muscle to the patella (kneecap). It is responsible for extending the knee.

A quadriceps tendon rupture is a serious injury that occurs when the tendon tears away from the patella. This can happen from a sudden forceful movement, such as jumping or landing from a height, or from a direct blow to the knee.

Quadriceps tendon ruptures are usually classified into three grades:

• Grade 1: The tendon is stretched but not torn.

• Grade 2: The tendon is partially torn.

• Grade 3: The tendon is completely torn.

Grade 1 and 2 quadriceps tendon ruptures can usually be treated with non-surgical treatment, such as rest, ice, compression, and elevation (RICE), and physical therapy. Grade 3 quadriceps tendon ruptures usually require surgery to repair the tendon.

Surgery

Quadriceps tendon repair surgery is usually performed open, which means that it is done through an incision in front of the knee. We repair the tendon using sutures and tie it back down onto the bone. We then protect the repair while the patient heals biologically to ensure a permanent repair.

Quadriceps tendon repair surgery is a safe and effective procedure. The procedure usually takes about 1 hour to perform and patients typically go home the same day.

Recovery

Recovery from quadriceps tendon repair surgery usually takes about 3-6 months. During the first 2-3 weeks, patients will need to use crutches and avoid putting weight on the affected leg. They will also need to wear a knee brace. After 6 weeks, patients can begin removing the brace to regain full range of motion. After 3 months, enough healing has occurred to start regaining strength in the knee.

Most patients are able to return to their normal activities within 3-6 months after surgery. However, it is important to listen to your body and not push yourself too hard during recovery.

If you are experiencing pain, swelling, or decreased range of motion in your knee, talk to us about whether quadriceps tendon repair may be right for you.