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The Journal of Bone and Joint Surgery (American) 84:2179-2185 (2002)
© 2002 The Journal of Bone and Joint Surgery, Inc.

Scientific Article

Patellar Tendinosis

A Follow-up Study of Surgical Treatment

Andrea Ferretti, MD, Fabio Conteduca, MD, Emanuela Camerucci, MSt and Federico Morelli, MD

Investigation performed at the Division of Orthopaedics, Sant'Andrea Hospital, University of Rome "La Sapienza," Rome, Italy

Andrea Ferretti, MD
Fabio Conteduca, MD
Emanuela Camerucci, MSt
Federico Morelli, MD
Division of Orthopaedics, Sant'Andrea Hospital, University of Rome "La Sapienza," Via Lidia 73, 00179 Rome, Italy. E-mail address for A. Ferretti: aferretti51{at}virgilio.it

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Background: Patellar tendinopathy (jumper's knee) is an overuse syndrome that frequently affects athletes. A retrospective study was done to analyze the results at a minimum of five years after the performance of a surgical technique in competitive athletes.

Methods: From 1985 to 1995, thirty-two patients (thirty-eight knees) affected by patellar tendinopathy were treated surgically after failure of nonoperative treatment. All knees were operated on by the same surgeon using the same surgical technique: longitudinal splitting of the tendon, excision of any abnormal tissue that was identified, and resection and drilling of the inferior pole of the patella. The results in twenty-seven patients (thirty-three knees), including twenty-two athletes (twenty-seven knees) who were still involved in sports activities (or wished to still be involved) at a competitive level at the time of final follow-up, were reviewed at a mean of eight years postoperatively. The results were evaluated according to symptoms and the ability to return to full sports activities.

Results: The result was excellent in twenty-three knees (70%), good in five, fair in one, and poor in four at the time of the long-term follow-up. Eighty-two percent of the patients who tried to pursue sports at their preinjury level were able to do so, and 63% of those knees were totally symptom-free.

Conclusions: The outcome of the described surgical treatment appears to be satisfactory; however, the results are less predictable in volleyball players.


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