Kelly John D
Department of Sports Medicine, University of Pennsylvania, 235 S 33rd St, Philadelphia, PA 19104, USA.
Orthopedics. 2009 Jul;32(7):504. doi: 10.3928/01477447-20090527-16.
This article examines the results of arthroscopic tendon debridement with excision of the distal pole of the patella for refractory patellar tendinitis. Nine patients failed at least 3 months of conservative therapy and underwent arthroscopic excision of the distal patellar pole with debridement of the deep proximal patella tendon. At least 3 months postoperatively (range, 3 months-5 years), 8 patients reported no distal patellar pole tenderness (Bassett sign), and 1 patient reported only mild tenderness. Arthroscopic excision of the distal patellar pole with tendon debridement holds promise for the treatment of refractory patellar tendinitis.
本文探讨了关节镜下肌腱清创术联合髌骨远端极切除术治疗难治性髌腱炎的效果。9例患者经至少3个月的保守治疗无效，接受了关节镜下髌骨远端极切除术及髌腱近端深部清创术。术后至少3个月（范围为3个月至5年），8例患者报告无髌骨远端极压痛（巴塞特征），1例患者仅报告有轻度压痛。关节镜下髌骨远端极切除术联合肌腱清创术有望用于治疗难治性髌腱炎。
