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经神经切断术治疗的髌疼痛

Patellar pain treated by neurotomy.

作者信息

Møller B N, Helmig O

出版信息

Arch Orthop Trauma Surg (1978). 1984;103(2):137-9. doi: 10.1007/BF00389588.

DOI:10.1007/BF00389588
PMID:6477075
Abstract

The mechanism of patellar pain is still not fully understood. Many operative procedures have been proposed, but so far no single technique has been successful. Under the impression that some of the pain-relieving effect by operative treatment is due to partial denervation of the patella, a medial denervation of the patella was performed in 17 patients (20 knees), mean age 24 years, with patellar pain syndrome. At the follow-up only 11 knees were free of symptoms or had improved, and the authors conclude that though comparable with other surgical methods, medial neurotomy is not sufficient to eliminate the pain in patients with patellar pain syndrome.

摘要

髌骨疼痛的机制仍未完全明了。虽然已经提出了许多手术方法,但到目前为止,尚无一种技术是成功的。鉴于手术治疗的一些止痛效果归因于髌骨的部分去神经支配,对17例(20膝)平均年龄24岁的髌骨疼痛综合征患者实施了髌骨内侧去神经支配术。随访时,只有11膝无症状或症状改善,作者得出结论,尽管内侧神经切断术与其他手术方法效果相当,但不足以消除髌骨疼痛综合征患者的疼痛。

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Adv Biomed Res. 2018 Jan 30;7:9. doi: 10.4103/abr.abr_154_16. eCollection 2018.
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[Denervation of the patella: influence on mid-term results after total knee arthroplasty].[髌骨去神经支配:对全膝关节置换术后中期结果的影响]
Orthopade. 2014 Feb;43(2):143-7. doi: 10.1007/s00132-013-2247-1.
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The Effect of Electrocautery around the Patellar Rim in Patellar Non-Resurfacing Total Knee Arthroplasty.

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