Fernandes André, Rufino Mariana, Hamal Divakar, Mousa Amr, Fossett Emma, Cheema Kamalpreet S
Trauma and Orthopaedics, York and Scarborough Teaching Hospitals NHS Foundation Trust, York, GBR.
Respiratory Medicine, Wirral University Teaching Hospital NHS Foundation Trust (WUTH), Wirral, GBR.
Cureus. 2023 Jul 7;15(7):e41512. doi: 10.7759/cureus.41512. eCollection 2023 Jul.
The extensor mechanism of the knee can be damaged due to various modes of injury, which, in most cases, will require urgent surgical intervention for repair. Single patellar tendon ruptures are uncommon, but simultaneous bilateral events are even rarer and have been scarcely reviewed in English literature. Research in this area is mainly confined to case series, with some literature reviews but no evidence of more substantial analysis. Therefore, this systematic review was done to analyse the existing literature on bilateral simultaneous patellar tendon ruptures and propose a systematic and standardised approach to diagnosing and managing these injuries. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The search terms included 'bilateral patellar tendon rupture', 'bilateral', 'patellar', 'tendon' and 'rupture'. Three independent reviewers conducted searches in PubMed, OvidSP for Medline, Embase and the Cochrane Library using the same search strategy. The eligibility criteria included studies on bilateral concomitant patellar tendon rupture published in English. Bilateral simultaneous patellar tendon ruptures of traumatic and atraumatic origin in human patients were included. The study types comprised case reports and literature reviews. The key limitation of this study was the low number of patients covered by the eligible literature. Patellar tendon ruptures are a rare and scarcely documented injury, and there is a need for studies with a high level of evidence, especially regarding surgical treatment choice and methods, as well as post-operative management, which could potentially lead to improved outcomes in the management of this injury.
膝关节的伸肌机制可能因多种损伤方式而受损，在大多数情况下，这需要紧急手术干预进行修复。单发性髌腱断裂并不常见，但双侧同时发生的情况更为罕见，英文文献中对此几乎没有相关综述。该领域的研究主要局限于病例系列，有一些文献综述，但缺乏更深入分析的证据。因此，进行了这项系统综述，以分析关于双侧同时性髌腱断裂的现有文献，并提出一种系统且标准化的方法来诊断和处理这些损伤。使用系统评价和Meta分析的首选报告项目（PRISMA）指南进行了系统综述。检索词包括“双侧髌腱断裂”“双侧”“髌骨”“肌腱”和“断裂”。三位独立评审员使用相同的检索策略在PubMed、OvidSP的Medline、Embase和Cochrane图书馆进行检索。纳入标准包括以英文发表的关于双侧同时性髌腱断裂的研究。纳入人类患者中创伤性和非创伤性起源的双侧同时性髌腱断裂。研究类型包括病例报告和文献综述。本研究的主要局限性是符合条件的文献所涵盖的患者数量较少。髌腱断裂是一种罕见且记录较少的损伤，需要开展具有高证据水平的研究，特别是关于手术治疗选择和方法以及术后管理方面的研究，这可能会改善这种损伤的治疗效果。
