Chronic patellar tendinopathy affects athletes, with a higher incidence in high-impact sporting activities. It can seriously impair sports activities. Many patients respond well to conservative treatment, but about 10% of them are refractory to conservative treatment. In these cases, surgery is indicated. Multiple surgical techniques have been reported, including both open and arthroscopic procedures with good results. However, in a small percentage of patients surgery is unsuccessful. This group of patients presents a major challenge, as options are limited. We describe our surgical approach in the management of recalcitrant patellar tendinopathy.
*Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, Salerno
‡Department of Orthopaedic and Traumatology, School of Medicine, University of Rome “Tor Vergata,” Rome, Italy
†Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, London, UK
Disclosure: The authors declare no conflict of interest.
Reprints: Nicola Maffulli, MD, MS, PhD, FRCS(Orth), Department of Musculoskeletal Disorders, University of Salerno, Faculty of Medicine, Surgery and Dentistry, 89100, Salerno, Italy. (e-mail: firstname.lastname@example.org).