关节镜下外侧支持带松解联合股骨髁去神经化治疗髌股关节炎近期临床疗效的观察

发布时间：2018-10-20 15:48

【摘要】：目的探讨关节镜下外侧支持带松解联合股骨髁去神经化治疗髌股关节炎的近期疗效。方法 2013年5月-2015年5月收治的髌股关节炎患者共65例。其中,男性22例,年龄51~67岁,平均(58.272±4.333)岁;女性43例,年龄45~69岁,平均(55.953±5.363)岁。采用关节镜下外侧支持带松解联合股骨髁去神经化治疗髌股关节炎。术前及术后1、3、6及12个月分别对患者膝关节进行Lysholm评分(LKSS),同时应用疼痛视觉模拟评分(VAS)对疗效进行评估。结果术后共59例患者得到随访,随访时间12个月。术前患者LKSS评分为(66.706±6.584)分,术后第1个月为(82.353±4.663)分,第3个月为(84.941±3.381)分,第6个月为(85.235±3.784)分,第12个月为(84.000±4.458);VAS评分术前为(6.400±1.188)分,术后第1个月为(1.500±0.513)分,第3个月为(1.000±0.725)分,第6个月为(1.150±0.815)分,第12个月为(1.850±0.875)分,差异有统计学意义(P0.01)。结论关节镜下外侧支持带松解联合股骨髁去神经化治疗髌股关节炎可缓解膝前疼痛,改善膝关节功能。
[Abstract]:Objective to investigate the short-term effect of arthroscopic lateral retinaculum release combined with femoral condylar denervation in the treatment of patellofemoral arthritis. Methods 65 patients with patellofemoral arthritis were treated from May 2013 to May 2015. There were 22 males (mean (58.272 卤4.333) years) and 43 females (mean (55.953 卤5.363) years). Patellofemoral arthritis was treated by arthroscopic release of lateral retinaculum and denervation of femoral condyle. The knee joint was evaluated with Lysholm score (LKSS),) and visual analogue pain score (VAS) before operation and at 6 and 12 months after operation. Results A total of 59 patients were followed up for 12 months. The LKSS scores were (66.706 卤6.584), (82.353 卤4.663), (84.941 卤3.381), (85.235 卤3.784), (84.000 卤4.458); VAS, (1.500 卤0.513), (1.000 卤0.725), (1.150 卤0.815), (6.400 卤1.188), (1.500 卤0.513), (1.000 卤0.725), (1.150 卤0.815), (84.000 卤4.458), (1.500 卤0.513), (1.000 卤0.725), (1.150 卤0.815) respectively. At the 12th month, the score was (1.850 卤0.875), the difference was statistically significant (P0.01). Conclusion arthroscopic lateral retinaculum release combined with femoral condylar denervation for patellofemoral arthritis can relieve anterior knee pain and improve knee function.
【作者单位】：江西省宜春市人民医院骨科;中南大学附属湘雅二医院骨科;江西省宜春市人民医院临床药学;
【分类号】：R687.4

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