Background: Bilateral pathological quadriceps tendon rupture is a rare, challenging problem in chronic debilitating patients. A paucity of research are present in the literature and most of them are case report. Objective: This case series study aimed to evaluate the results of quadriceps tendon repair reinforced by autologous tendon augmentation in chronic renal patients. Methods: Six chronic renal patients with bilateral quadriceps tendon rupture (5 males and a female) underwent quadriceps tendon repair augmented with an autologous tendon graft with a new special configuration that allowed early rehabilitation. Results: The mean Lysholm score at the final follow-up was 93 ± 6.09 ranging from 85 to 100. We had no extension lag in this study and the mean knee flexion range was 134.16 ± 7.63⁰ ranging from 125 to 145⁰_. Conclusion: Quadriceps tendon repair augmented withautologous tendon graft gives well to excellent results with no re-rupture complication in short-term results. Level of evidence: Therapeutic level IV.