Alaseirlis Dimosthenis Artemis, Konstantinidis George Athanasios, Malliaropoulos Nikolaos, Nakou Lamprini Stefanos, Korompilias Anastasios, Maffulli Nicola
General Hospital of Giannitsa, Greece.
Muscles Ligaments Tendons J. 2013 Jan 21;2(4):267-72. Print 2012 Oct.
To present the results of arthroscopic treatment of patellar tendinopathy in high-level competition athletes. Eleven high-level athletes presented chronic patellar tendinopathy which did not respond to long term conservative treatment. Average age of the patients was 24.8 ±3.4 years old. All patients received an arthroscopic procedure with osteoplasty of the distal patellar pole, debridement of the underlying Hoffa fat pad and of the degenerated areas of the proximal posterior patella tendon and cauterization of the visible neo-vessels. Mean duration of follow-up was 17.4±4 months. Patients showed a major improvement in the Lysholm score from 49.9±5.2 to 92.5±7 and in the VISA P score from 41.2±5.2 to 86.8±14.9 on tenth post-operative week. All patients had returned to sports activities by the twelfth postoperative week. Arthroscopic treatment of chronic patellar tendinopathy found to be a minimal invasive and safe technique which produced satisfactory results.
呈现高水平竞技运动员髌腱病的关节镜治疗结果。11名高水平运动员患有慢性髌腱病，对长期保守治疗无反应。患者的平均年龄为24.8±3.4岁。所有患者均接受了关节镜手术，包括髌腱远端极的骨成形术、髌下脂肪垫及髌腱近端后部退变区域的清创术以及可见新生血管的烧灼术。平均随访时间为17.4±4个月。术后第10周，患者的Lysholm评分从49.9±5.2显著提高至92.5±7，VISA P评分从41.2±5.2提高至86.8±14.9。所有患者在术后第12周均恢复了体育活动。关节镜治疗慢性髌腱病是一种微创且安全的技术，效果令人满意。
