Open Patellar Tendon Tenotomy and Debridement Combined with Suture‐bridging Double‐row Technique for Severe Patellar Tendinopathy

Zhang, Bo; Qu, Tie-bing; Pan, Jiadong; Wang, Zhiwei; Zhang, Xiaodong; Ren, Shi-Xiang; Liang, Wen-Yew; Chen, Tong; Ma, Desi; Lin, Yang; Cheng, Cheng‐Kung

doi:10.1111/os.12220

Cited by 9 publications

(11 citation statements)

References 43 publications

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“…In a retrospective study, Zhang et al 28 used a mechanical repair augmentation technique with double-row suture anchors. Midsubstance longitudinal incisions were made in patellar tendons to treat chronic patellar tendinopathy.…”

Section: Discussionmentioning

confidence: 99%

Patellar Tendon Repair Augmentation With a Knotless Suture Anchor Internal Brace: A Biomechanical Cadaveric Study

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Patellar Tendon Repair Augmentation With a Knotless Suture Anchor Internal Brace: A Biomechanical Cadaveric Study

et al. 2018

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“…Fifteen studies detailed results regarding pain, most commonly reporting scores along a VAS or as a number/percentage of patients who were pain free. 14,15,18,19,22,23,25,29,31,36,37,[42][43][44][45] Three studies 23,41,43 reporting pre-and postoperative VAS pain scores (0-10) with standard deviations had an average reduction in VAS postoperatively of 5.10 (95% CI: 4.52-5.68, I 2 ¼ 0%) which is above the MCID of 2.0 to 3.5 (►Fig. 9).…”

Section: Pain Scoresmentioning

confidence: 99%

Surgical Management of Patellar Tendinopathy Results in Improved Outcomes and High Rates of Return to Sport: A Systematic Review

et al. 2022

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Although the majority of patients with patellar tendinopathy (PT) can be treated nonoperatively, operative management may be indicated for recalcitrant cases. While several surgical techniques have been described, there is limited understanding of postoperative outcomes and expectations regarding return to activity and sport. The purpose of this study was to characterize the clinical outcomes associated with the surgical management of PT with an emphasis on return to sport (RTS) rates. We hypothesized that surgical management would lead to clinically important improvements in patient-reported outcomes (PROs) with high rates of RTS and RTS at the same level. A comprehensive search of the PubMed, Medline, and Embase databases was performed in December 2020. Level of evidence studies I through IV, investigating results of surgical management for PT (PRO, functional outcomes, pain, and/or RTS), were included. The search was performed in accordance with the Preferred Reported Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Forty clinical studies reporting on surgery for PT satisfied inclusion criteria, with 1,238 total knees undergoing surgery for PT. A comparison of pre- and postoperative Victorian Institute of Sport Assessment, patellar tendon (VISA-P) scores (mean difference: 41.89, p < 0.00001), Lysholm scores (mean difference: 41.52, p < 0.00001), and visual analogue scale (VAS) pain scores (mean difference: 5, p < 0.00001) demonstrated clinically and statistically significant improvements after surgery. The overall RTS rate following operative management was 89.8% (95% confidence interval [CI]: 86.4–92.8, I 2 = 56.5%) with 76.1% (95% CI: 69.7.5–81.9, I 2 = 76.4%) of athletes returning to the same level of activity. Surgery for PT provides meaningful improvement in patient reported outcomes and pain while allowing athletes to RTS at high rates with levels of participation similar to that of preinjury. Comparative studies of open and/or arthroscopic surgery are still limited but current evidence suggests better rates of RTS for arthroscopic surgery compared with open surgery. This is a systematic review of level-I to -IV studies.

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“…Open or arthroscopic surgery techniques make it possible to relieve the pain and restore function rapidly in patients who are unresponsive to nonoperative treatment. Such surgery aims to minimize tissue damage, mitigate compression at the attachment point and promote local blood circulation 8 , with the aim of stimulating a new reparative cascade thanks to the contribution of orthobiologics 9 . The purpose of our report is to evaluate the clinical effectiveness of the "peignage" technique combined with PRP infiltration in cases of recalcitrant patellar tendinosis at a minimum of one year follow-up.…”

Section: Introductionmentioning

confidence: 99%

Treatment of recalcitrant patellar tendinosis: can the peignage technique be a viable alternative?

et al. 2022

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Objective. Patellar tendinopathy typically affects young athletes engaged in running and jumping activities. If conservative therapy fails at one year, surgery generally leads to therapeutic success. This study evaluated the clinical effectiveness of the "peignage" technique combined with PRP infiltration. Methods. Since 2018 we have treated 7 active patients with open patellar "peignage" technique, excision of degenerations, micro-perforation,s and PRP infiltration, subsequently subjected to a standardized 3-month rehabilitation protocol. Results. There was a reduction in the mean VAS pain from 7.2 to 2.5 points and functional improvement on the VISA-P-I scale from 49 to 85% between pre-and post-operative periods (1 year follow-up), with statistically significant differences. Conclusions. In resistant cases of patellar tendinopathy, the combined use of surgery and orthobiologics allows the athlete to return to pre-injury activities, with good results regarding pain and function. The lack of high-quality evidence studies does not allow systematic conclusions on patellar "peignage" to be drawn; however, the case series present in the literature underline good clinical efficacy. Level of evidence. IV, Case series, prospective.

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Open Patellar Tendon Tenotomy and Debridement Combined with Suture‐bridging Double‐row Technique for Severe Patellar Tendinopathy

Cited by 9 publications

References 43 publications

Patellar Tendon Repair Augmentation With a Knotless Suture Anchor Internal Brace: A Biomechanical Cadaveric Study

Patellar Tendon Repair Augmentation With a Knotless Suture Anchor Internal Brace: A Biomechanical Cadaveric Study

Surgical Management of Patellar Tendinopathy Results in Improved Outcomes and High Rates of Return to Sport: A Systematic Review

Treatment of recalcitrant patellar tendinosis: can the peignage technique be a viable alternative?

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