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 patelloplas...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.展开更多
Background:Total knee arthroplasty(TKA)can reduce severe joint pain and improve functional disability in hemophilia.However,the long-term outcomes have rarely been reported in China.Therefore,this study aimed to evalu...Background:Total knee arthroplasty(TKA)can reduce severe joint pain and improve functional disability in hemophilia.However,the long-term outcomes have rarely been reported in China.Therefore,this study aimed to evaluate the long-term outcomes and complications of TKA in Chinese patients with hemophilic arthropathy.Methods:We retrospectively reviewed patients with hemophilia who underwent TKA between 2003 and 2020,with at least 10 years of follow-up.The clinical results,patellar scores,patients’overall satisfaction ratings,and radiological findings were evaluated.Revision surgery for implants during the follow-up period was recorded.Results:Twenty-six patients with 36 TKAs were successfully followed up for an average of 12.4 years.Their Hospital for Special Surgery Knee Score improved from an average of 45.8 to 85.9.The average flexion contracture statistically significantly decreased from 18.1°to 4.2°.The range of motion(ROM)improved from 60.6°to 84.8°.All the patients accepted patelloplasty,and the patients’patellar score improved from 7.8 preoperatively to 24.9 at the last follow-up.There was no statistically significant difference in clinical outcomes between the unilateral and bilateral procedures,except for a better ROM at follow-up in the unilateral group.Mild and enduring anterior knee pain was reported in seven knees(19%).The annual bleeding event was 2.7 times/year at the last follow-up.A total of 25 patients with 35 TKAs were satisfied with the procedure(97%).Revision surgery was performed in seven knees,with 10-and 15-year prosthesis survival rates of 85.8%and 75.7%,respectively.Conclusions:TKA is an effective procedure for patients with end-stage hemophilic arthropathy,which relieves pain,improves knee functions,decreases flexion contracture,and provides a high rate of satisfaction after more than ten years of follow-up.展开更多
文摘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.
基金CAMS Innovation Fund for Medical Sciences(CIFMS,No.2022-I2M-C&T-B-031)National High Level Hospital Clinical Research Funding(No.2022-PUMCH-A-124)
文摘Background:Total knee arthroplasty(TKA)can reduce severe joint pain and improve functional disability in hemophilia.However,the long-term outcomes have rarely been reported in China.Therefore,this study aimed to evaluate the long-term outcomes and complications of TKA in Chinese patients with hemophilic arthropathy.Methods:We retrospectively reviewed patients with hemophilia who underwent TKA between 2003 and 2020,with at least 10 years of follow-up.The clinical results,patellar scores,patients’overall satisfaction ratings,and radiological findings were evaluated.Revision surgery for implants during the follow-up period was recorded.Results:Twenty-six patients with 36 TKAs were successfully followed up for an average of 12.4 years.Their Hospital for Special Surgery Knee Score improved from an average of 45.8 to 85.9.The average flexion contracture statistically significantly decreased from 18.1°to 4.2°.The range of motion(ROM)improved from 60.6°to 84.8°.All the patients accepted patelloplasty,and the patients’patellar score improved from 7.8 preoperatively to 24.9 at the last follow-up.There was no statistically significant difference in clinical outcomes between the unilateral and bilateral procedures,except for a better ROM at follow-up in the unilateral group.Mild and enduring anterior knee pain was reported in seven knees(19%).The annual bleeding event was 2.7 times/year at the last follow-up.A total of 25 patients with 35 TKAs were satisfied with the procedure(97%).Revision surgery was performed in seven knees,with 10-and 15-year prosthesis survival rates of 85.8%and 75.7%,respectively.Conclusions:TKA is an effective procedure for patients with end-stage hemophilic arthropathy,which relieves pain,improves knee functions,decreases flexion contracture,and provides a high rate of satisfaction after more than ten years of follow-up.