重庆医学2017，Vol.46Issue(9)：1188-1190,3.DOI:10.3969/j.issn.1671-8348.2017.09.011
关节镜清理联合髌股周围去神经化手术治疗髌股关节炎的临床疗效
Clinical effect of arthroscopic debridement combined with patellofemoral peripheral denervated operation in treating patellofemoral arthritis
摘要
Abstract
Objective To investigate the clinical effect of arthroscopic debridement combined with patellofemoral peripheral denervated operation in treating patellofemoral arthritis.Methods One hundred cases of patellofemoral arthritis anterior knee pain in this hospital from January 2014 to September 2015 were selected and randomly divided into the observation group and control group,50 cases in each group.The control group was given the arthroscopic debridement treatment,while the observation group was given the arthroscopic debridement combined with patellofemoral peripheral denervated operation.The visual analogue scale (VAS) before and after treatment,and Lysholm and Kujala scores after treatment were compared between the two groups.Results There was no statistically significant difference in the VAS score before treatment between the two groups (P＞0.05).After treatment,the VAS score in the two groups were significantly decreased,moreover the VAS score in the observation group was lower than that of the control group (P＜0.05).After treatment,the Lysholm scores in the observation group and the control group were (80.93±4.21) points and (74.29±4.48) points,the knee Lysholm scores of claudication,joint noose,bearing weight,pain,instability,up and down stairs,jump,run,joint swollen and pain,squats were significantly better than those in the control group (P＜0.05);aftertreatment,the Kujala total score in the observation group and the control group were (76.48±6.54) points and (68.34-±-6.22) points respectively,the Kujala scores of claudication,walking distance,bearing weight,squat,up and down stairs,jumping,running,knee pain,long time kneebend,abnormal patellofemoral activity,anterior knee swelling,knee bending limitation,thigh muscle atrophy in the observation group were significantly better than those in the control group(P＜0.05).Conclusion Arthroscopic debridement combined with patellofemoral peripheral denervation surgery in the treatment of patellofemoral osteoarthritis can obviously relieve pain and improves the knee function and patellofemoral joint function.关键词
髌股关节炎/膝前痛/关节镜清理术/髌股周围去神经化术Key words
patellofemoral arthritis/knee pain/arthroscopic debridement/patellofemoral peripheral denervation分类
医药卫生引用本文复制引用
孙锐,张建军,刘家林..关节镜清理联合髌股周围去神经化手术治疗髌股关节炎的临床疗效[J].重庆医学,2017,46(9):1188-1190,3.基金项目
贵州省六盘水市科技项目(52020-2014LPS33289). （52020-2014LPS33289）
