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髌股关节炎的手术治疗选择:AGA髌股委员会的专家建议

Operative Treatment Options for Patellofemoral Arthritis: An Expert Recommendation of the AGA Patellofemoral Committee.

作者信息

Keshmiri Armin, Dirisamer Florian, Liebensteiner Michael, El Attal Rene, Pagenstert Geert, Seitlinger Gerd, Wagner Daniel, Balcarek Peter, Kappel Paola, Schöttle Philip, Frings Jannik, Tscholl Philippe, Becher Christoph

出版信息

Orthop J Sports Med. 2021 Mar 30;9(3):2325967121994849. doi: 10.1177/2325967121994849. eCollection 2021 Mar.

Abstract

BACKGROUND

The operative therapy of patellofemoral arthritis requires an individual approach depending on the underlying injury. However, the literature lacks recommendations for its course of action.

PURPOSE

To generate an expert recommendation of therapy for different patellofemoral abnormalities in patients suffering from isolated patellofemoral arthritis.

STUDY DESIGN

Consensus statement.

METHODS

To generate recommendations, the AGA Patellofemoral Committee performed a consensus process using the Delphi method based on the available literature on isolated patellofemoral arthritis.

RESULTS

In most statements and recommendations, a high percentage of consensus could be found. However, also in the expert group of the AGA Patellofemoral Committee, some controversies on the treatment of patellofemoral arthritis exist.

CONCLUSION

The operative therapy of isolated patellofemoral arthritis is a challenging topic that leads to controversial discussions, even in an expert group. With this consensus statement of the AGA Patellofemoral Committee, recommendations on different operative treatment options were able to be generated, which should be considered in clinical practice.

摘要

背景

髌股关节炎的手术治疗需要根据潜在损伤采取个体化方法。然而,文献中缺乏关于其治疗方案的建议。

目的

为孤立性髌股关节炎患者不同的髌股异常情况制定专家治疗建议。

研究设计

共识声明。

方法

为了生成建议,AGA髌股委员会基于关于孤立性髌股关节炎的现有文献,采用德尔菲法进行了共识达成过程。

结果

在大多数声明和建议中,可以发现高比例的共识。然而,即使在AGA髌股委员会的专家组中,对于髌股关节炎的治疗也存在一些争议。

结论

孤立性髌股关节炎的手术治疗是一个具有挑战性的话题,即使在专家组中也会引发有争议的讨论。通过AGA髌股委员会的这份共识声明,能够生成关于不同手术治疗选择的建议,临床实践中应予以考虑。

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Consensus guidelines for management of patellofemoral instability.髌股关节不稳定管理的共识指南。
Knee. 2021 Mar;29:305-312. doi: 10.1016/j.knee.2021.02.018. Epub 2021 Mar 5.
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Isolated patellofemoral osteoarthritis.孤立性髌股关节炎。
Acta Orthop. 2010 Apr;81(2):199-205. doi: 10.3109/17453671003628756.

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