关节镜下L形松解髌骨外侧支持带对髌骨外侧挤压综合征合并髌股关节炎患者的影响

Effect of L-shaped Release of Lateral Patellar Support Band under Arthroscopy on Patients with Lateral Patellar Compression Syndrome Combined with Patellofemoral Arthritis

目的:探讨关节镜下L形松解髌骨外侧支持带对髌骨外侧挤压综合征合并髌股关节炎患者的影响。方法:选取2021年2月—2023年2月河北省沧州中西医结合医院收治的80例髌骨外侧挤压综合征合并髌股关节炎患者。根据摸球法将其分为对照组(n=40,奇数)和观察组(n=40,偶数)。对照组给予关节镜下直线松解髌骨外侧支持带治疗,观察组给予关节镜下L形松解髌骨外侧支持带治疗。比较两组临床疗效,术前及术后疼痛程度、髌骨外倾角、膝关节功能、炎症反应。结果:观察组优良率高于对照组,差异有统计学意义(P<0.05)。术后1个月,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组Lysholm评分、Kujala评分均高于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组红细胞沉降率(ESR)和C反应蛋白(CRP)水平均低于对照组,差异有统计学意义(P<0.05)。结论:关节镜下L形松解髌骨外侧支持带在髌骨外侧挤压综合征合并髌股关节炎患者中较传统直线松解术更有效,能显著改善关节功能和减轻疼痛,同时降低炎症标志物ESR和CRP的水平,从而提高整体治疗的优良率。

Objective:To evaluate the effect of L-shaped release of lateral patellar support band under arthroscopy on patients with lateral patellar compression syndrome combined with patellofemoral arthritis.Method:A total of 80 patients with lateral patellar compression syndrome combined with patellofemoral arthritis were selected from February 2021 to February 2023 in Cangzhou Hospital of Integrated TCM-WM·HEBEI.They were divided into control group(n=40,odd)and observation group(n=40,even)according to ball-touching method.The control group was given linear release of the lateral patellar support band under arthroscopy,and the observation group was given L-shape release of the lateral patellar support band under arthroscopy.The clinical efficacy,preoperative and postoperative pain degree,patellar camber angle,knee joint function and inflammatory response were compared between the two groups.Result:The excellent and good rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After one month of operation,visual analogue scale(VAS)score of observation group was lower than control group,the differences were statistically significant(P<0.05).After 3 months of operation,Lysholm score and Kujala score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 3 months of operation,the erythrocyte sedimentation rate(ESR)and C-reactive protein(CRP)levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:In patients with lateral patellar compression syndrome combined with patellofemoral arthritis,L-shaped release of the lateral patellar support band under arthroscopy is more effective than traditional linear release,which can significantly improve joint function and relieve pain,while reducing the levels of inflammatory markers ESR and CRP,thereby improving the overall treatment rate of excellent and good.