case_images: PMC3504210_01
case_images: MRI of the left knee reveals complete rupture of the patellar tendon and patella alta.
case_images: CRIM.ORTHOPEDICS2011-569363.002.jpg
case_images: PMC3504210_01_CRIM.ORTHOPEDICS2011-569363.002.jpg
case_images: fig2
case_images: A magnetic resonance imaging (MRI) was performed and confirmed the initial speculations (Figure 2).
case_images: Nonabsorbable sutures through the ends of the ruptured patellar tendon in the left knee.
case_images: CRIM.ORTHOPEDICS2011-569363.003.jpg
case_images: PMC3504210_01_CRIM.ORTHOPEDICS2011-569363.003.jpg
case_images: fig3
case_images: Through median longitudinal incision, the two parts of the ruptured tendon were identified; thus, complete rupture of the patellar tendon was confirmed and was reconstructed with the use of non absorbable sutures (Ethibond no. 2) (Figure 3).
case_images: Tension band wire through tibial tuberosity for reinforcing the sutures.
case_images: CRIM.ORTHOPEDICS2011-569363.004.jpg
case_images: PMC3504210_01_CRIM.ORTHOPEDICS2011-569363.004.jpg
case_images: fig4
case_images: A 4.5 mm screw was inserted in the tibial tuberosity, and the sutures were reinforced by a metallic wire tension band (Figure 4).
case_images: Reconstruction of the partial rupture of the quadriceps tendon in the right knee with nonabsorbable sutures.
case_images: CRIM.ORTHOPEDICS2011-569363.005.jpg
case_images: PMC3504210_01_CRIM.ORTHOPEDICS2011-569363.005.jpg
case_images: fig5
case_images: The rupture was similarly repaired with nonabsorbable sutures (Figure 5).
case_images: Full extension of both knees in 2-year followup.
case_images: CRIM.ORTHOPEDICS2011-569363.006.jpg
case_images: PMC3504210_01_CRIM.ORTHOPEDICS2011-569363.006.jpg
case_images: fig6
case_images:  Two years postoperatively the patient was still walking unassisted and presented a nearly full range of motion in both knees (full flexion bilaterally and 100  on the right and 110  on the left) (Figures 6, 7(a) and 7(b), 8(a) and 8(b)).