الفهرس 
Treatment 0f patellar tendin0pathyOnly 14 pages are availabe for public view
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Abstract
Jumper’s knee, 0r patellar tendin0pa¬thy, is a clinical term used t0 de¬scribe patellar tend0n pain, swelling, and/0r dysfuncti0n resulting fr0m acute injury 0r, m0re c0mm0nly, chr0nic 0ver¬use. This c0nditi0n is prevalent am0ng athletes and 0ften bec0mes chr0nic and disabling. In patients with patellar tendin0pathy in wh0m n0n-0perative management is unsuccessful, surgery is an 0pti0n t0 return t0 high levels 0f physical activity. Alth0ugh 0pen surgery is traditi0nally adv0cated, an arthr0sc0pic appr0ach may be safe and effective.
This w0rk was t0 evaluate the results 0f arthr0sc0pic management 0f cases with chr0nic refract0ry patellar tendin0pathy (jumper’s knee).
This is a pr0spective study that was d0ne at Kafr El-Sheikh and Benha university h0spital. 28 patients inv0lved in sp0rts activities with chr0nic patellar tendinitis aged 18-30 years with the mean age 0f 23.25 were c0nsidered t0 have arthr0sc0pic treatment t0 refract0ry chr0nic patellar tendin0pathy after at least 3 m0nth 0f c0nservative treatment during the peri0d fr0m May 2018 t0 June 2019 and s0 arthr0sc0pic treatment finally was d0ne.
All patients in the study underwent arthr0sc0pic debridement 0f the H0ffa’s bad fat, debridement 0f abn0rmal patellar tend0n, with 0r with0ut excisi0n 0f the l0wer p0le 0f the patella. Pre0perative and p0st0perative evaluati0n was undertaken using the VAS sc0re, Lysh0lm Sc0res and Vict0rian Institute 0f Sp0rt Assessment–Patella (VISA-P) sc0res f0r all patients at 2 weeks 2, 4, 6 and 12 m0nths. N0 patients were l0st t0 f0ll0w-up.
The VAS, Lysh0lm, and VISA-P sc0res all significantly impr0ved at last f0ll0w-up. The average pre0perative VAS sc0re 0f 7.39 impr0ved t0 0.39.The average pre0perative Lysh0lm sc0re 0f 52.42 impr0ved t0 94.6. The average pre0perative VISA-P sc0re 0f 38.36 impr0ved t0 93.43. There were n0 p0st0perative c0mplicati0ns. 27 patients 0f 28 were able t0 perf0rm at their preinjury sp0rts activities. 0ne case was n0t able t0 return t0 preinjury sp0rts activity.
Finally, arthr0sc0pic surgery f0r patients with patellar tendin0pathy, refract0ry t0 n0n-0perative management, appears t0 pr0vide significant impr0vements in sympt0ms and functi0n. These results suggest that patients are able t0 achieve their presympt0m sp0rting level.