Evidence map›Paper›PMID 40215473›Full record

SynthesisJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2025

A Systematic Review of Surgical Treatment for Refractory Patellar Tendinopathy.

John D Mueller, Sohil Desai, Kyle K Obana, William Crockatt, Charles A Popkin

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John D MuellerFrom the Department of Orthopaedic Surgery, New York-Presbyterian Hospital/Columbia University Irving Medical Center, New York, NY.
Sohil Desai
William Crockatt
Charles A Popkin

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith the advent of new classification systems and surgical options, clarification is needed regarding the most effective surgical management for refractory patellar tendinopathy (PT). The objective of this systematic review is to investigate outcomes of surgical management of refractory PT.

methodsPubMed was searched from January 1, 2000, through July 12, 2021, using the Medical Subject Headings function and the following Boolean operators: "Patellar Ligament/surgery"[Mesh] NOT "Anterior Cruciate Ligament"[Mesh]. Original research articles that discussed surgical management of PT were included, and outcomes were recorded.

resultsFifteen studies (2 studies level 1 and 13 studies level 4) were included comprising 485 patients with an average age of 29.5 years and 523 patellar tendons treated. The seven studies reporting both preoperative and postoperative Victorian Institute of Sports Assessment scores demonstrated increases of 39.60, whereas the seven studies reporting visual analog scores demonstrated decreases of 6.11. Average return-to-play rate was 87.08%. Study designs and in surgical techniques were heterogenous, which precluded the ability to perform a meta-analysis. DISCUSSION: Surgical treatment of refractory PT leads to notable improvement in patient-reported outcomes and high return-to-play rates. However, there is a paucity of high-quality research investigating newer surgical options and classification systems for PT.

Indexed as

Orthopedic ProceduresPatellar LigamentTendinopathyAdultHumansPatient Reported Outcome MeasuresReturn to SportTreatment Outcome

Identifiers

PMID40215473
PMCPMC11981264

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.