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63; P=0.08). Correspondingly, the thigh girth at 20cm and 10cm above the knee was significantly lower on the injured side. One patient had re-rupture after patella tendon repair. At long-term follow up the patients reached good clinical outcomes and exhibited mainly physiological gait patterns after rupture of knee extensor tendons. However, the thigh muscles showed hypotrophy and a significantly smaller EMG signal amplitude during a high-intensity task on the formerly injured side. At long-term follow up the patients reached good clinica