Tarassoli Payam, Punwar Shahid, Khan Wasim, Johnstone David
Bristol Royal Infirmary, Upper Maudlin St, Bristol, BS2 8HW, UK.
Open Orthop J. 2012;6:340-7. doi: 10.2174/1874325001206010340. Epub 2012 Jul 27.
Identification and management of patients with isolated patellofemoral osteoarthritis are challenging. Many of these patients present at a young age and it is important to distinguish degenerative change in the patellofemoral articulation from the other various causes of anterior knee pain. Once the diagnosis of isolated patellofemoral arthrosis has been made non-operative and conservative surgical techniques should be exhausted fully before prosthetic arthroplasty is considered. This review focuses on the use of arthroplasty for isolated patellofemoral arthrosis, in particular comparing the use of total knee against selective patellofemoral joint replacements.
孤立性髌股关节炎患者的识别与管理具有挑战性。这些患者中许多人发病年龄较轻，因此将髌股关节的退行性改变与前膝痛的其他各种病因区分开来很重要。一旦确诊为孤立性髌股关节病，在考虑人工关节置换术之前，应充分尝试非手术和保守手术技术。本综述重点关注人工关节置换术在孤立性髌股关节病中的应用，特别是比较全膝关节置换与选择性髌股关节置换的应用情况。
