Yi Ning, Yuan Hang, Zhang Yun-Kun, Yang Wen-Qiang, Zhuang Chao
Department of Orthopedics, Panjin Central Hospital, Panjin, China.
Department of Orthopedics, People's Hospital of Quzhou, Quzhou, China.
BMC Surg. 2025 Apr 17;25(1):164. doi: 10.1186/s12893-025-02907-8.
In orthopedics clinic, patellofemoral arthrosis is a special type of osteoarthritis and yet the surgical methods are still debatable.
We retrospectively reviewed 94 patients with knee patellofemoral arthrosis who were underwent knee arthroscopic exploration and debridement only or underwent arthroscopic release of the lateral patellar retinaculum at the same time. LPFA, PTA, PSA as well as WOMAC, Lysholm, Kujala and VAS scores were used to evaluate the clinical outcomes between two groups.
All patients were followed up for more than one year. The LPFA and PTA were improved after surgeries. The postoperative Lysholm and Kujala scores of both groups were higher and the postoperative WOMAC and VAS scores were lower than those of preoperatively. There was no significant difference between two groups at 6 months, while at 12 months, observation group were better than those of control group.
Arthroscopic release of lateral patellar retinaculum is effective in the treatment of patellofemoral arthrosis.
在骨科临床中，髌股关节病是骨关节炎的一种特殊类型，但其手术方法仍存在争议。
我们回顾性分析了94例膝髌股关节病患者，这些患者仅接受了膝关节镜探查和清创术，或同时接受了关节镜下髌外侧支持带松解术。使用外侧髌股角（LPFA）、髌股角（PTA）、髌股适合角（PSA）以及西安大略和麦克马斯特大学骨关节炎指数（WOMAC）、Lysholm评分、Kujala评分和视觉模拟评分（VAS）来评估两组的临床疗效。
所有患者均随访一年以上。术后LPFA和PTA均得到改善。两组术后Lysholm和Kujala评分均高于术前，术后WOMAC和VAS评分均低于术前。两组在术后6个月时无显著差异，而在术后12个月时，观察组优于对照组。
关节镜下髌外侧支持带松解术治疗髌股关节病有效。
