TY - JOUR AU - AB - TECHNICAl SECTION A reliable and reproducible method for estab- lishing accurate patella drill holes for quadri- ceps tendon repair A Dinneen, J Clements, G Heilpern, G Railton Kingston Hospital NHS Trust, UK CORRESPONDENCE TO Alexander Dinneen, E: alexdinneen@doctors.org.uk BACKGROUND Various techniques for quadriceps tendon repair have been described with biomechanical studies suggesting greater failure threshold with longitudinally placed drill holes. The current gold standard for repair uses 3–4 sutures passed through parallel longitudinal transpatel- Figure 3 Sutures passed through eyes of 2.4mm drill tip lar bone tunnels. We describe a simple and reproducible technique passing pins Figure 1 Acufex Director™ Drill Guide positioned on patella Figure 4 Sutures pulled through patella tunnels to inferior pole for accurate placement of patella drill holes and passage of suture material. TECHNIQUE Satisfactory hold is achieved in the quadriceps tendon with sutures. Using the Acufex Director™ Drill Guide (Smith & Nephew, Andover, MA, US), the desired entry and exit locations for drill holes are se- lected on the patella (Fig 1). Three to four 2.4mm drill tip passing pins are placed (Fig 2). Each passing pin is then overdrilled with the 4.5mm ENDOBUTTON (Smith & Nephew) cannulated drill bit. The free ends of TI - A reliable and reproducible method for establishing accurate patella drill holes for quadriceps tendon repair JF - Annals of The Royal College of Surgeons of England DO - 10.1308/003588413x13511609957056e DA - 2013-01-01 UR - https://www.deepdyve.com/lp/unpaywall/a-reliable-and-reproducible-method-for-establishing-accurate-patella-wTNbL1UsOQ DP - DeepDyve ER -