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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2018

01-12-2018 | Knee

Arthroscopic patellar release allows timely return to performance in professional and amateur athletes with chronic patellar tendinopathy

Authors: Jan M. Pestka, Gernot Lang, Dirk Maier, Norbert P. Südkamp, Peter Ogon, Kaywan Izadpanah

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2018

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Abstract

Purpose

Return to sports rates in amateur and professional athletes with chronic patellar tendinopathy following arthroscopic patellar release are unpredictable. The present study aims to analyse the effectiveness of arthroscopic patellar release in professional compared to amateur athletes.

Methods

A total of 34 amateur and 20 professional athletes with chronic patellar tendinopathy, refractory to conservative treatment, were studied prospectively and underwent arthroscopic tendon release at the inferior patellar pole. Impact of grouped sports on clinical and functional outcome, subjective patient satisfaction and return to sports rates were assessed. Additionally, preoperative MRI-scans of the knee were evaluated and correlated with clinical outcome.

Results

In 40 patients (74.1%) arthroscopic patellar release resulted in complete recovery and return to preinjury exercise levels. Full return to sports was achieved after a median of 3.0 (range 0.5–12.0) months. Functional outcome measures VISA-P (Victorian Institute of sport assessment for patella) and modified Blazina scores improved significantly from pre- to postoperatively (VISA-P: 48.8 vs. 94.0 pts., respectively, p < 0.0001; Blazina: 4.47 vs. 0.5, respectively, p < 0.0001).

Conclusion

As rapid recovery and timely return to sports are crucial for professional athletes, arthroscopic patellar release should be considered after failed conservative treatment.

Level of evidence

IV.
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Metadata
Title
Arthroscopic patellar release allows timely return to performance in professional and amateur athletes with chronic patellar tendinopathy
Authors
Jan M. Pestka
Gernot Lang
Dirk Maier
Norbert P. Südkamp
Peter Ogon
Kaywan Izadpanah
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2018
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-018-4985-4

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