[Arthroscopic patelloplasty and circumpatellar denervation for the treatment of patellofemoral osteoarthritis]
| Autor: | Xue-zhen Shen, Gang Zhao, Juan-li Zhu, Yang Liu, Jiang-Tao Wang, Bang-tuo Yuan, Feng Qu, Wei Qi, Yujie Liu |
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| Rok vydání: | 2015 |
| Předmět: |
Cartilage
Articular Male medicine.medical_specialty Knee Joint lcsh:Medicine Denervation Lateral Retinaculum Patellofemoral Patelloplasty Patellofemoral Joint Arthroscopy Quality of life Patellofemoral osteoarthritis medicine Humans Range of Motion Articular Aged Aged 80 and over Lateral retinaculum business.industry Cartilage Therapeutic effect lcsh:R General Medicine Middle Aged Osteoarthritis Knee Surgery medicine.anatomical_structure Treatment Outcome Quality of Life Squatting position Original Article Female business |
| Zdroj: | Chinese Medical Journal, Vol 128, Iss 1, Pp 79-84 (2015) Chinese Medical Journal |
| ISSN: | 1003-0034 |
| Popis: | Background: Patellofemoral osteoarthritis commonly occurs in older people, often resulting in anterior knee pain and severely reduced quality of life. The aim was to examine the effectiveness of arthroscopic patelloplasty and circumpatellar denervation for the treatment of patellofemoral osteoarthritis (PFOA). Methods: A total of 156 PFOA patients (62 males, 94 females; ages 45-81 years, mean 66 years) treated in our department between September 2012 and March 2013 were involved in this study. Clinical manifestations included recurrent swelling and pain in the knee joint and aggravated pain upon ascending/descending stairs, squatting down, or standing up. PFOA was treated with arthroscopic patelloplasty and circumpatellar denervation. The therapeutic effects before and after surgery were statistically evaluated using Lysholm and Kujala scores. The therapeutic effects were graded by classification of the degree of cartilage defect. Results: A total of 149 cases were successfully followed up for 14.8 months, on average. The incisions healed well, and no complications occurred. After surgery, the average Lysholm score improved from 73.29 to 80.93, and the average Kujala score improved from 68.34 to 76.48. This procedure was highly effective for patients with cartilage defects I-III but not for patients with cartilage defect IV. Conclusions: For PFOA patients, this procedure is effective for significantly relieving anterior knee pain, improving knee joint function and quality of life, and deferring arthritic progression. |
| Databáze: | OpenAIRE |
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