Cochrane · systematic review · CD013034

Surgery for patellar tendinopathy (jumper’s knee)

Dan, M, Phillips, A, Johnston, RV, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 2 · 14.3%Low 6 · 42.9%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Open surgical excision compared to eccentric exercises for patella tendinopathy

Population: adult participants with patellar tendinopathy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Knee pain Scale from: 0 to 10 (0 is no pain)
Open surgical excision vs eccentric exercises
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Function Scale from: 0 to 100 (100 is best function)
Open surgical excision vs eccentric exercises
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Participant global assessment of success (People who perceived their pain as none)
Open surgical excision vs eccentric exercises
RR 0.71 [0.27, 1.88]1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Open surgical excision vs eccentric exercises
no estimate extractedNRNo studies
Withdrawal rate
Open surgical excision vs eccentric exercises
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Adverse event
Open surgical excision vs eccentric exercises
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Tendon rupture
Open surgical excision vs eccentric exercises
no estimate extractedNRNo studies

Arthroscopic surgery compared to sclerosing injection for patella tendinopathy

Population: adult participants with patellar tendinopathy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Knee pain Scale from: 0 to 100 (0 is no pain)
Arthroscopic surgery vs sclerosing injection
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, imprecision
Function
Arthroscopic surgery vs sclerosing injection
no estimate extractedNRNo studies
Participant global assessment of success Scale from: 0 to 100 (higher is greater satisfaction)
Arthroscopic surgery vs sclerosing injection
no estimate extracted1 study · 50 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Arthroscopic surgery vs sclerosing injection
no estimate extractedNRNo studies
Withdrawal rate
Arthroscopic surgery vs sclerosing injection
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Adverse event
Arthroscopic surgery vs sclerosing injection
no estimate extractedNRNo studies
Tendon rupture
Arthroscopic surgery vs sclerosing injection
no estimate extractedNRNo studies