Stärke C, Röpke E F, Lohmann C H
Orthopädische Universitätsklinik Magdeburg, Magdeburg, Deutschland.
Orthopade. 2011 Oct;40(10):896-8, 900-1. doi: 10.1007/s00132-011-1778-6.
Involvement of the patellofemoral compartment is common in osteoarthritis of the knee but to date there is no consensus as to the most appropriate approach concerning the patella. Both general non-selective resurfacing as well as selective or secondary resurfacing are currently accepted. However, despite abundant studies on the subject no clear conclusions can be drawn from the available evidence. There are arguments in favour of either approach. Accordingly, no strong evidence can be found to support peripatellar denervation. With the advent of new diagnostic modalities for the assessment of knee osteoarthritis, such as single photon emission computed tomography/CT (SPECT/CT), a more selective approach to patellar resurfacing with a potentially improved outcome might become possible.
髌股关节腔受累在膝关节骨关节炎中很常见，但迄今为止，关于髌骨最恰当的处理方法尚无共识。目前，一般的非选择性表面置换以及选择性或二次表面置换均被认可。然而，尽管针对该主题有大量研究，但现有证据仍无法得出明确结论。两种方法都有支持的观点。因此，找不到有力证据支持髌周去神经支配。随着用于评估膝关节骨关节炎的新诊断方式的出现，如单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT），一种更具选择性的髌骨表面置换方法可能会实现，其结果可能会得到改善。
