Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique

Rupture of the patellar tendon is an uncommon injury that severely compromises knee function, with re-rupture rates varying between 2% and 50% depending on the repair technique. Currently, there is no consensus on the optimal method for revision patellar tendon repair. This Technical Note presents a...

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Main Authors: Rodrigo Araujo Goes, M.D., M.Sc., Pedro Alexandre Dias, M.D., M.Sc., Frederico Lage Oliveira, José Rafael Pereira, M.D., M.Sc., Pedro Castelhanito, M.D., M.Sc., Joaquim Soares do Brito, M.D., M.Sc., José Roman Padin, M.D., M.Sc., José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724005280
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author Rodrigo Araujo Goes, M.D., M.Sc.
Pedro Alexandre Dias, M.D., M.Sc.
Frederico Lage Oliveira
José Rafael Pereira, M.D., M.Sc.
Pedro Castelhanito, M.D., M.Sc.
Joaquim Soares do Brito, M.D., M.Sc.
José Roman Padin, M.D., M.Sc.
José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.
author_facet Rodrigo Araujo Goes, M.D., M.Sc.
Pedro Alexandre Dias, M.D., M.Sc.
Frederico Lage Oliveira
José Rafael Pereira, M.D., M.Sc.
Pedro Castelhanito, M.D., M.Sc.
Joaquim Soares do Brito, M.D., M.Sc.
José Roman Padin, M.D., M.Sc.
José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.
author_sort Rodrigo Araujo Goes, M.D., M.Sc.
collection DOAJ
description Rupture of the patellar tendon is an uncommon injury that severely compromises knee function, with re-rupture rates varying between 2% and 50% depending on the repair technique. Currently, there is no consensus on the optimal method for revision patellar tendon repair. This Technical Note presents an alternative approach using allograft Achilles tendon augmentation after an initial procedure involving transosseous tunnels with hamstring tendons in the tibia and patella. By using a homologous Achilles tendon graft, this method enhances stability and reduces the risk of re-rupture. Detailed surgical steps and a postoperative rehabilitation protocol are included to optimize patient outcomes, making this a valuable addition to existing surgical approaches for patellar tendon reconstruction.
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publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-32af8308b8864efb8118c8c91cfafb5b2025-08-20T02:18:51ZengElsevierArthroscopy Techniques2212-62872025-04-0114410336010.1016/j.eats.2024.103360Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish TechniqueRodrigo Araujo Goes, M.D., M.Sc.0Pedro Alexandre Dias, M.D., M.Sc.1Frederico Lage Oliveira2José Rafael Pereira, M.D., M.Sc.3Pedro Castelhanito, M.D., M.Sc.4Joaquim Soares do Brito, M.D., M.Sc.5José Roman Padin, M.D., M.Sc.6José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.7Centro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – Portugal; Faculdade de Medicina da Universidade de Lisboa, Lisboa Portugal; Divisão de Traumatologia e Ortopedia (DITRO) do Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro – BrasilCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – PortugalCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – PortugalCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – PortugalCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – PortugalCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – Portugal; Faculdade de Medicina da Universidade de Lisboa, Lisboa PortugalCentro Hospitalar Universitário Lisboa Norte (CHULN) – Hospital de Santa Maria, Lisboa – Portugal; Faculdade de Medicina da Universidade de Lisboa, Lisboa PortugalDivisão de Traumatologia e Ortopedia (DITRO) do Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro – Brasil; Divisão de Ensino e Pesquisa (DIENP) do Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro – Brasil; Address correspondence to José Leonardo Rocha de Faria, National Institute of Traumatology and Orthopedics of Brazil, 500 Brazil Ave., Rio de Janeiro 20940-070, Brazil.Rupture of the patellar tendon is an uncommon injury that severely compromises knee function, with re-rupture rates varying between 2% and 50% depending on the repair technique. Currently, there is no consensus on the optimal method for revision patellar tendon repair. This Technical Note presents an alternative approach using allograft Achilles tendon augmentation after an initial procedure involving transosseous tunnels with hamstring tendons in the tibia and patella. By using a homologous Achilles tendon graft, this method enhances stability and reduces the risk of re-rupture. Detailed surgical steps and a postoperative rehabilitation protocol are included to optimize patient outcomes, making this a valuable addition to existing surgical approaches for patellar tendon reconstruction.http://www.sciencedirect.com/science/article/pii/S2212628724005280
spellingShingle Rodrigo Araujo Goes, M.D., M.Sc.
Pedro Alexandre Dias, M.D., M.Sc.
Frederico Lage Oliveira
José Rafael Pereira, M.D., M.Sc.
Pedro Castelhanito, M.D., M.Sc.
Joaquim Soares do Brito, M.D., M.Sc.
José Roman Padin, M.D., M.Sc.
José Leonardo Rocha de Faria, M.D., M.Sc., Ph.D.
Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
Arthroscopy Techniques
title Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
title_full Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
title_fullStr Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
title_full_unstemmed Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
title_short Revision Patellar Tendon Reconstruction Surgeries With Allograft Achilles: The Codfish Technique
title_sort revision patellar tendon reconstruction surgeries with allograft achilles the codfish technique
url http://www.sciencedirect.com/science/article/pii/S2212628724005280
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