Tendinopatia patelar: resultados tardios do tratamento cirúrgico

ResumoObjetivoAvaliar os resultados tardios do tratamento cirúrgico na tendinopatia patelar (TP) com o uso do escore Visa (Victorian Institute of Sport Tendon Study Group) e o método de Verheyden.MétodosEstudo retrospectivo que avaliou os resultados pós‐operatórios de 12 pacientes, ou 14 joelhos, entre julho de 2002 e fevereiro de 2011. Foram incluídos os pacientes com tendinopatia patelar refratários ao tratamento conservador e que não apresentavam outras lesões cirúrgicas concomitantes. Pacientes que não foram devidamente acompanhados no período pós‐operatório foram excluídos.ResultadosPelo método de Verheyden, nove pacientes foram considerados muito bons, dois bons e um ruim. Em relação ao Visa, a média foi de 92,4 pontos, com apenas dois pacientes abaixo de 70 pontos (66 e 55 pontos).ConclusãoO tratamento cirúrgico da tendinopatia patelar, quando corretamente indicado, tem bons resultados em longo prazo.AbstractObjectiveTo evaluate the late‐stage results from surgical treatment of patellar tendinopathy (PT), using the Visa score (Victorian Institute of Sport Tendon Study Group) and the Verheyden method.MethodsThis was a retrospective study in which the postoperative results from 12 patients (14 knees) who were operated between July 2002 and February 2011 were evaluated. The patients included in the study presented patellar tendinopathy that was refractory to conservative treatment, without any other concomitant lesions. Patients who were not properly followed up during the postoperative period were excluded.ResultsUsing the Verheyden method, nine patients were considered to have very good results, two had good results and one had poor results. In relation to VISA, the mean was 92.4 points and only two patients had scores less than 70 points (66 and 55 points).ConclusionWhen surgical treatment for patellar tendinopathy is correctly indicated, it has good long‐term results