Reconstruction of Femoral Tendon

Reconstruction surgery of the femoral tendon using a donor's Achilles tendon was successfully performed for the first time in Israel at the Ziv Medical Center.
23/6/2019

The innovative and rare surgery was performed by 2 orthopedic specialists from Ziv's Orthopedic Department headed by Prof. Alexander Lerner - Dr. Noam Reshef, a specialist in sport injuries and joint preservation, and Dr. Vladislav Polyakov. The patient was a 45-year-old woman from the Upper Galilee, who had torn her femoral tendon the previous year when she had slipped and fallen in her home, resulting in chronic pain and suffering. During surgery, the torn tendon was reconstructed, sewn to the tendon implant from the tissue bank and attached to the bone with anchors and wires; surrounding damaged nerve and muscle tissue were also repaired. The three-hour operation was considered very successful; the surgeons were satisfied that the patient's knee and leg movement improved immediately and significantly.

Dr. Reshef explained that when the patient arrived, a year after the severe trauma she suffered at home, she reported severe pains performing daily activities, as well as repeated numbness in her foot, pain while sitting and she was not capable of resuming her previous sports activities. On examination Dr. Reshef found a ripped tendon, shortened by 10 cm., as well as a sensitive and very painful lump in the center of the thigh which originated from the contracted and scarred muscle. "This is a serious injury to the tendon that occurs very infrequently," he says, adding that “the surgery to repair an acute tear of the hamstrings is performed in Israel, but only up to 6 weeks after the injury itself and does not require a transplant. The time lapse, in addition to the rip and shortening of the hamstring, resulted in extreme muscle contraction, causing the tendon to move far from its origin in the ischemium. There would have been considerable difficulty in restoring it. As a result, we had no choice but to reconstruct the tendon and connect it back to the bone using a donor implant, "said Dr. Reshef, concluding:"This is a rare operation in which we used a heel tendon to reconstruct the structure of the posterior femoral tendon that had been irreversibly damaged. Already the day following surgery the patient reported that she was feeling well, without any special pain, and that the hard bulge from the center of her hip had disappeared. The procedure requires several months of rehabilitation, at the end of which the patient was expected to return to normal functioning, including athletic activity, without pain.