Surgery for patellar tip syndrome

General

The so-called Patellar tip syndrome is a Disease of the bone-tendon junction on the kneecap caused by overload. It is mostly one very painful, degenerative disease. The overload becomes common caused by certain sportswhich are associated with compressive and tensile loads on the kneecap. The fact that the disease is also associated with a lot of jumping can be seen from the English name of "Jumpers knee" derive. The Treatment of patellar tip syndrome is usually conservative at first instead of. Only if conservative therapy does not cure the disease, surgery for the syndrome is usually considered. There are different surgical methodswhich can be applied depending on individual factors. The prognosis of the disease as well as the healing after a patellar tip syndrome operation can be assessed as very good overall. This is how they achieve Most of those affected have no symptoms after the operation and a long follow-up treatment.

Symptoms

The patellar tip syndrome goes with it characteristic symptoms hand in hand. However, not all symptoms have to appear. The extent and occurrence of the symptoms is and can be determined by the individual disease individually different be. Typical of a patellar tip syndrome is a Pain in the knee, which mostly load-dependent occurs.

Appointment with a knee specialist?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

The knee joint is one of the joints with the greatest stress.

Therefore, the treatment of the knee joint (e.g. meniscus tear, cartilage damage, cruciate ligament damage, runner's knee, etc.) requires a lot of experience.
I treat a wide variety of knee diseases in a conservative way.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

In contrast to other knee complaints, the pain that occurs due to patellar tip syndrome usually occurs after the exercise phase and partially disappears completely during the warm-up and exercise phase.

root cause

The cause of the occurrence of the Patellar tip syndrome lies in an overload of the structures at the bone-tendon junction Kneecap as well as the one running there Tendons. The overload usually occurs due to certain sporting activities which are associated with great tensile stress on the kneecap and the tendons. The disease often occurs in so-called jumping sports such as Volleyball, basketball, or athletics on. In addition to the type and frequency of the sport performed, individual factors such as that influence Age, or congenital disorders of the musculoskeletal system the occurrence of the disease.

diagnosis

At the beginning of the diagnosis of patellar tendon syndrome there are especially the Medical history as well as the physical examination of the person concerned in the foreground. To be able to prove the suspected diagnosis of patellar tip syndrome, come imaging procedures for use. Especially those Magnetic resonance imaging can the Changes to the kneecap and tendons show well and is usually used in preparation for patellar tendon syndrome surgery. A readily available and inexpensive method is the Ultrasound diagnostics which can also show changes that may indicate the presence of the disease.

therapy

At a failure of conservative therapy, which mainly consists of a Taking pain relievers and anti-inflammatory drugs, one Sports break such as special exercises surgery of the disease is possible.

The surgery is usually means minimally invasive methods carried out. There are, depending on the individual clinical picture, different ways to treat the disease surgically. Often during the patellar tip syndrome surgery the inflamed parts of the tendon removed. To prevent re-inflammation, you can individual tendon parts or entire tendons loosened become. Partly come laser are used, which cut into the affected tendons and thus reduce the tensile force during certain movements.

Which surgical method is used depends largely on how large and at what location the affected tendon portion is. In any case, a consequent follow-up treatment to be able to guarantee the success of the therapy.

Healing time

The Duration of healing of a treated patellar tendon syndrome can be very different. Lots of factors like that Extent of the disease itself, the effect of the treatment, but also individual factors significantly influence the time it takes to heal. The following assessments should therefore only be regarded as average values.

It is important that one in the week after the operation Protection of the knee by using crutches takes place. After about five days you can use a physical therapy which, depending on the progress of healing, for about 2-6 weeks should be carried out. In order to get the structures used to movement, you can use after physiotherapy Exercises on a bicycle ergometer to be started. After about 1-2 months can light running exercises occur. Strength exercises should first after about 2 months be performed. Since jumping puts a lot of strain on the affected tendon parts, should Jumping sports only after about 2 - 4 months be performed.

In summary, the healing time of a patellar tendon syndrome treated by surgery after about 6 weeks to 4 months to be expected.

Treatment cost

During an operation for the patellar tip syndrome arise great cost. The Health insurance pays the costs usually when the indication for the operation can be made. This means that the operation will only be covered by the health insurance companies if a conservative attempt at therapy is unsuccessful. The same usually applies to private insurance. In order to obtain security about the assumption of the costs incurred, it is advisable to use one Consultation with the individual insurer.

Treatment success

As with all operations and therapies, a Treatment success through a patellar tip syndrome operation in advance is not guaranteed become. The success of the operation for patellar tip syndrome depends not only on the disease itself but also on it individual factors from. However, the extent of the inflammation is particularly crucial for the success of the operation. In the literature, surgical therapy with a Success rate of 70-90% specified.

How big they are individual view a success can be discussed with the attending physician.

Aftercare

In order to ensure the success of the therapy, consistent follow-up treatment of the disease after the operation is essential.

First of all, it is important to protect the affected knee with crutches. Specific physiotherapy can be started after about 3-5 days. During the healing process, the attending physician and physiotherapist can best assess which exercises make sense and when sporting activity can be started. The duration of the follow-up treatment depends on the healing process and can be between 2 and 6 months.

forecast

The prognosis for patellar tip syndrome is generally very good. That's how they lie Success rates of conservative therapy are over 80%. The operative treatment of the syndrome, which is usually applied after a conservative therapy has not been successful, is around 70-90%. However, it should be noted that a long aftercare is necessary and one Start of sporting activity only after a long time and at a lower level can take place.

prophylaxis

Exercising certain sports in particular can lead to patellar tip syndrome. Some behaviors can help that Decrease the likelihood of the syndrome occurring. Especially that correct warm-up before exercise as well as performing Stretching, Both before and after sport are important prophylactic measures. Overloading through a rapidly increasing intensity of activity should also be avoided. If there is a Misalignment of the legs can insoles help to relieve the structures and thus effectively reduce the probability of the occurrence of a patellar tip syndrome.