Abstract
INTRODUCTION: Failure rates following primary patellar tendon repair from 2% to 50% have been reported, and this is highly dependent on the surgical technique used. Revision patellar tendon repair has several inherent risks associated with it, and the available literature on surgical approaches is limited to case reports, with only one previous paper addressing repairing a thrice failed, twice previously repaired tendon. CARE REPORT: We present a case of this rare and complex problem using a novel technique of augmenting the repair with a cerclage wire as well as a hamstring autograft.The surgery was also conducted with dual specialty operating using an orthoplastic approach. CONCLUSION: The presented technique resulted in a superior range of movement of 0-140° compared to previous case reports (maximum 0-130°), plus the patient made a return to all activities. This can help inform decision-making for the management of the thrice-failed, twice-repaired patellar tendon.