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Tendon injuries are commonly seen in sports medicine practice. Many elite players involved in high-impact activities develop patellar tendinopathy (PT) symptoms. Of them, a small percentage will develop refractory PT and need to undergo surgery. In some of these patients, surgery does not resolve these symptoms. To report the clinical results in a cohort of athletes who underwent further surgery after failure of primary surgery for PT. Case series; Level of evidence, 4. A total of 22 athletes who had undergone revision surgery for faile