The treatment of patellar tendinopathy

Background Patellar tendinopathy (PT) presents a challenge to orthopaedic surgeons. The purpose of this review is to revise strategies for treatment of PT Materials and methods A PubMed (MEDLINE) search of the years 2002–2012 was performed using ‘‘patellar tendinopathy’’ and ‘‘treatment’’ as keyword...

Descripción completa

Detalles Bibliográficos
Autor: Rodríguez Merchán, E. Carlos
Tipo de recurso: artículo
Fecha de publicación:2013
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/663665
Acceso en línea:http://hdl.handle.net/10486/663665
https://dx.doi.org/10.1007/s10195-012-0220-0
Access Level:acceso abierto
Palabra clave:Conservative
Patellar tendinopathy
Surgical
Treatment
Medicina
id ES_c64a31cdcf4dff40e940de652573df93
oai_identifier_str oai:repositorio.uam.es:10486/663665
network_acronym_str ES
network_name_str España
repository_id_str
spelling The treatment of patellar tendinopathyRodríguez Merchán, E. CarlosConservativePatellar tendinopathySurgicalTreatmentMedicinaBackground Patellar tendinopathy (PT) presents a challenge to orthopaedic surgeons. The purpose of this review is to revise strategies for treatment of PT Materials and methods A PubMed (MEDLINE) search of the years 2002–2012 was performed using ‘‘patellar tendinopathy’’ and ‘‘treatment’’ as keywords. The twenty-two articles addressing the treatment of PT with a higher level of evidence were selected. Results Conservative treatment includes therapeutic exercises (eccentric training), extracorporeal shock wave therapy (ESWT), and different injection treatments (plateletrich plasma, sclerosing polidocanol, steroids, aprotinin, autologous skin-derived tendon-like cells, and bone marrow mononuclear cells). Surgical treatment may be indicated in motivated patients if carefully followed conservative treatment is unsuccessful after more than 3–6 months. Open surgical treatment includes longitudinal splitting of the tendon, excision of abnormal tissue (tendonectomy), resection and drilling of the inferior pole of the patella, closure of the paratenon. Postoperative inmobilisation and aggressive postoperative rehabilitation are also paramount. Arthroscopic techniques include shaving of the dorsal side of the proximal tendon, removal of the hypertrophic synovitis around the inferior patellar pole with a bipolar cautery system, and arthroscopic tendon debridement with excision of the distal pole of the patella. Conclusion Physical training, and particularly eccentric training, appears to be the treatment of choice. The literature does not clarify which surgical technique is more effective in recalcitrant cases. Therefore, both open surgical techniques and arthroscopic techniques can be usedSpringer OpenDepartamento de CirugíaFacultad de Medicina20132013-06-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/663665https://dx.doi.org/10.1007/s10195-012-0220-0reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6636652026-06-23T12:46:27Z
dc.title.none.fl_str_mv The treatment of patellar tendinopathy
title The treatment of patellar tendinopathy
spellingShingle The treatment of patellar tendinopathy
Rodríguez Merchán, E. Carlos
Conservative
Patellar tendinopathy
Surgical
Treatment
Medicina
title_short The treatment of patellar tendinopathy
title_full The treatment of patellar tendinopathy
title_fullStr The treatment of patellar tendinopathy
title_full_unstemmed The treatment of patellar tendinopathy
title_sort The treatment of patellar tendinopathy
dc.creator.none.fl_str_mv Rodríguez Merchán, E. Carlos
author Rodríguez Merchán, E. Carlos
author_facet Rodríguez Merchán, E. Carlos
author_role author
dc.contributor.none.fl_str_mv Departamento de Cirugía
Facultad de Medicina
dc.subject.none.fl_str_mv Conservative
Patellar tendinopathy
Surgical
Treatment
Medicina
topic Conservative
Patellar tendinopathy
Surgical
Treatment
Medicina
description Background Patellar tendinopathy (PT) presents a challenge to orthopaedic surgeons. The purpose of this review is to revise strategies for treatment of PT Materials and methods A PubMed (MEDLINE) search of the years 2002–2012 was performed using ‘‘patellar tendinopathy’’ and ‘‘treatment’’ as keywords. The twenty-two articles addressing the treatment of PT with a higher level of evidence were selected. Results Conservative treatment includes therapeutic exercises (eccentric training), extracorporeal shock wave therapy (ESWT), and different injection treatments (plateletrich plasma, sclerosing polidocanol, steroids, aprotinin, autologous skin-derived tendon-like cells, and bone marrow mononuclear cells). Surgical treatment may be indicated in motivated patients if carefully followed conservative treatment is unsuccessful after more than 3–6 months. Open surgical treatment includes longitudinal splitting of the tendon, excision of abnormal tissue (tendonectomy), resection and drilling of the inferior pole of the patella, closure of the paratenon. Postoperative inmobilisation and aggressive postoperative rehabilitation are also paramount. Arthroscopic techniques include shaving of the dorsal side of the proximal tendon, removal of the hypertrophic synovitis around the inferior patellar pole with a bipolar cautery system, and arthroscopic tendon debridement with excision of the distal pole of the patella. Conclusion Physical training, and particularly eccentric training, appears to be the treatment of choice. The literature does not clarify which surgical technique is more effective in recalcitrant cases. Therefore, both open surgical techniques and arthroscopic techniques can be used
publishDate 2013
dc.date.none.fl_str_mv 2013
2013-06-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/663665
https://dx.doi.org/10.1007/s10195-012-0220-0
url http://hdl.handle.net/10486/663665
https://dx.doi.org/10.1007/s10195-012-0220-0
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Open
publisher.none.fl_str_mv Springer Open
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869419061073412096
score 15.300719

Similares en LA Referencia