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Arthroscopic Patelloplasty and Circumpatellar Denervation for the Treatment of Patellofemoral Osteoarthritis

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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.

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作者单位: Department of Orthopedics, Chinese People's Liberation Army General Hospital, Beijing 100853, China ;Department of Orthopedics, Chinese People's Liberation Army 261 Hospital, Beijing 100294, China [1] Department of Orthopedics, Chinese People's Liberation Army General Hospital, Beijing 100853, China [2]
期刊: 《中华医学杂志(英文版)》2015年128卷1期 79-84页 SCIMEDLINEISTICCSCDBP
栏目名称: Original Articles
DOI: 10.4103/0366-6999.147820
发布时间: 2015-02-12
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