Quadriceps and patella tendon repair surgery is a procedure performed to treat injuries to the quadriceps or patella tendon, which are essential for knee movement and stability. These injuries often result from sports activities, falls, or trauma. The surgery aims to restore function and strength to the knee, allowing patients to return to their normal activities.
During the surgery, the patient is placed under anesthesia, either general or regional, to ensure comfort and minimise pain. Dr Shales makes an incision over the injured tendon, exposing the damaged area. Depending on the severity of the injury, the tendon may be stitched back together or reattached to the bone using specialised techniques and surgical instruments. In some cases, the surgeon may need to reinforce the repair with sutures or anchors to ensure stability. Once the repair is complete, the incision is closed, and a protective dressing or brace may be applied.
Before the surgery, patients will undergo a thorough evaluation by Dr Shales, including physical examination, imaging studies, and medical history review. It is essential to follow any preoperative instructions provided by the surgeon, which may include, stopping certain medications, such as blood thinners, before surgery. You will be informed of when to fast before the procedure. You should make arrangements for transportation to and from the hospital and plan for someone to assist with postoperative care and assistance at home.
After surgery, patients will be monitored closely in the recovery area until they are awake and stable. Pain management medications will be provided to keep patients comfortable during the initial recovery period. Physiotherapy may begin soon after surgery to help restore range of motion, strength, and function to the knee. Patients will be instructed on proper wound care and activity restrictions to promote healing and prevent complications.
Rehabilitation plays a crucial role in the success of quadriceps and patella tendon repair surgery. A structured rehabilitation program will be tailored to each patient's specific needs and may include:
1. Gentle range of motion exercises to prevent stiffness.
2. Strengthening exercises to rebuild muscle strength and endurance.
3. Balance and proprioception exercises to improve joint stability.
4. Gradual return to weight-bearing activities and sports-specific training.
5. Regular follow-up appointments with Dr Shales and the physiotherapist to monitor progress and adjust the rehabilitation program as needed.
As with any surgical procedure, there are risks and potential complications associated with quadriceps and patella tendon repair surgery, including:
- Infection at the surgical site.
- Delayed wound healing.
- Blood clots in the leg (deep vein thrombosis) or lungs (pulmonary embolism).
- Nerve or blood vessel injury.
- Stiffness or loss of motion in the knee.
- Recurrent tendon rupture or failure of the repair.
The outcomes of quadriceps and patella tendon repair surgery vary depending on factors such as the extent of the injury, the patient's age and overall health, and adherence to postoperative rehabilitation. With proper treatment and rehabilitation, many patients experience significant improvement in knee function and return to their previous level of activity. However, full recovery may take several months, and some patients may experience residual symptoms or limitations.
Quadriceps and patella tendon repair surgery is a valuable treatment option for individuals with injuries to these essential knee structures. By understanding the surgical process, preparing appropriately, participating in rehabilitation, and closely following postoperative instructions, patients can maximise their chances of a successful outcome and return to an active lifestyle.
Here are a number of the questions we often get asked.
Recovery time varies depending on the extent of the injury and individual factors but may take several months. Tendons and other soft-tissues take up to 3 months to heal and then require further rehabilitation to regain strength and proprioception.
With proper treatment and rehabilitation, many patients can return to sports and other activities. However, it may take time to regain full strength and function in the knee.
