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Patellar Tendon Reconstruction Using Semitendinosus Allograft With Suture Tape Augmentation for Recalcitrant Patellar Tendinosis.
Arthrosc Tech
September 2024
Columbia Orthopaedic Group, Columbia, Missouri, U.S.A.
Article Synopsis
- Chronic patellar tendinosis is a condition caused by overuse, primarily seen in jumping athletes, and can often be treated without surgery.
- Operative treatments, like tendon debridement, create a defect in the tendon that should ideally be reinforced with a graft to prevent issues and strengthen the tendon.
- The technique described involves using allografts and suture tape to enhance the structural integrity of the patellar tendon during the debridement process, combining two innovative methods for better recovery.
Article Synopsis
- Patellar tendinopathy is a common type of knee pain in athletes, especially those involved in jumping and running sports, caused by repetitive microtrauma and poor healing at the knee joint.
- Eccentric exercises can help, but recovery may be slow; thus, there's increasing interest in treatments like platelet-rich plasma (PRP) injections, which have shown effective results with minimal side effects.
- While PRP therapy displays potential for long-lasting improvement, variations in treatment protocols highlight the necessity for further research to standardize its application, and stem cell therapy also shows promise but lacks sufficient data for widespread recommendation.
Patellar reconstruction in primary total knee arthroplasty using bone chips from routine cuts: A case report and review of literature.
World J Methodol
June 2024
Institute of Orthopaedics "Carlos E. Ottolenghi", Italian Hospital of Buenos Aires, Capital Federal 1198, Argentina.
Background: Total patellectomy is currently reserved for exceptional cases, such as recalcitrant patellofemoral instability and comminuted fractures, due to its demonstrated negative impact on knee biomechanics. Therefore, managing patellectomy is crucial to mitigate its inherent deleterious effects. Various techniques have been described, including autologous or allogeneic bone grafts for reconstruction and soft tissue realignment to enhance the extensor mechanism.
View Article and Find Full Text PDFUltrasound-guided electrocoagulation of neovascularisation for persistent patellar tendinopathy in athletes: a cohort study of 25 patients with a mean follow-up of 5 years from the SANTI Study Group.
BMJ Open Sport Exerc Med
March 2024
Centre Orthopédique Santy, 24av Paul Santy, FIFA Medical Center of Excellence, Hopital Mermoz, Groupe Ramsay, Lyon, France.
Background: Patellar tendinopathy (PT) is a common condition characterised by persistent patellar tendon pain and dysfunction, particularly in athletes. Neovascularisation is frequently observed in the PT and is associated with increased pain. Ultrasound-guided electrocoagulation of neovascularisation has emerged as a minimally invasive alternative treatment for recalcitrant PT.
View Article and Find Full Text PDFSurgical Management of Patellar Tendinopathy Results in Improved Outcomes and High Rates of Return to Sport: A Systematic Review.
J Knee Surg
September 2023
Department of Orthopedic Surgery, University of Pittsburgh Medical Center Pittsburgh, Pennsylvania.
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.
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