Sandoval Luke A, Reiter Charles R, Satalich James R, O'Neill Conor N, Cyrus John W, Vap Alexander R
Department of Orthopaedic Surgery Virginia Commonwealth University Health System.
Department of Orthopaedic Surgery Duke University Medical Center.
Orthop Rev (Pavia). 2024 Feb 7;16:92644. doi: 10.52965/001c.92644. eCollection 2024.
Partial patellar tendon tears (PPTTs) are overuse injuries in sports with frequent jumping, such as basketball and volleyball. There are several treatment options, including both operative and non-operative modalities. Current literature is largely focused broadly on patellar tendinopathy; however, there are few studies which specifically evaluate treatment outcomes for PPTTs.
To systematically review the literature on treatment options, clinical outcomes, and return to sport (RTS) in athletes with a PPTT.
PubMed, Embase, and Cochrane were searched through May 1, 2023 for studies reporting treatment outcomes in athletes with partial patellar tendon tears. Data was extracted on the following topics: treatment modalities, surgical failures/reoperations, surgical complications, RTS, and postoperative time to RTS.
The review covers 11 studies with 454 athletes: 343 males (86.2%) and 55 females (13.8%). The average age was 25.8 years, ranging from 15 to 55 years. 169 patients (37.2%) received only non-operative treatments, while 295 (65.0%) underwent surgery. 267 patients (92.1%) returned to sports after 3.9 months of treatment. The average follow-up was 55.8 months.
Our review of current literature on PPTTs in athletes illustrates over 90% return to sport following either conservative or surgical treatment. There is currently little data that directly compares the treatment options to establish an evidence-based "gold-standard" treatment plan. The data we present suggests that current treatment options are satisfactory but would benefit from future study.
部分髌腱撕裂（PPTTs）是篮球和排球等频繁跳跃运动中的过度使用损伤。有多种治疗选择，包括手术和非手术方式。当前文献主要广泛关注髌腱病；然而，专门评估PPTTs治疗结果的研究很少。
系统回顾关于PPTTs运动员治疗选择、临床结果和重返运动（RTS）的文献。
检索截至2023年5月1日的PubMed、Embase和Cochrane数据库，以查找报告部分髌腱撕裂运动员治疗结果的研究。提取以下主题的数据：治疗方式、手术失败/再次手术、手术并发症、RTS以及术后RTS时间。
该综述涵盖11项研究，共454名运动员：男性343名（86.2%），女性55名（13.8%）。平均年龄为25.8岁，范围在15至55岁之间。169例患者（37.2%）仅接受非手术治疗，而295例（65.0%）接受了手术。267例患者（92.1%）在治疗3.9个月后重返运动。平均随访时间为55.8个月。
我们对运动员PPTTs当前文献的综述表明，保守或手术治疗后超过90%的患者能够重返运动。目前几乎没有直接比较各种治疗选择以建立基于证据的“金标准”治疗方案的数据。我们呈现的数据表明当前的治疗选择是令人满意的，但未来的研究将使其受益。
