Unicompartmental Knee Arthroplasty Combined with Arthroscopic Denervation of the Patella for the Treatment of Double-Compartment Knee Joint Lesions
Objective To investigate the efficacy of unicompartmental knee arthroplasty(UKA)combined with arthroscopic patellar denervation in the treatment of bicompartmental lesion osteoarthritis.Methods From August to November 2022,43 patients diagnosed with bilateral compartmental degenerative osteoarthritis of the knee at the Affiliated Hospital of Hebei University were enrolled.Patients were stratified into two groups based on surgical intervention:An experimental group undergoing UK A combined with arthroscopic patellar denervation[11 males,17 females;55～70 yeas old,mean age(62.50±4.73)years]and a control group receiving UKA alone[4 males,11 females;55～70 yeas old,mean age(60.27±4.06)years].A clinical controlled study was conducted to compare the incidence of anterior knee pain and knee joint scores at 1 month,3 months,and 12 months postoperatively between the groups.Results Both groups were followed up for 12 months postoperatively.At one year,a significant statistical difference in visual analogue scale(VAS)for pain was observed between the groups(P＜0.05).The feller patellar score and kujala score significantly improved in the experimental group compared to the control group at both 3 months and 12 months postoperatively(P＜0.05).In the knee society score(KSS)patient overall evaluation section,the experimental group showed significant improvement compared to the control group at 12 months postoperatively(P＜0.05).Follow-up results indicated a significant difference in the incidence of anterior knee pain and knee joint scores between the groups,with the experimental group experiencing a significant reduction in anterior knee pain incidence.Conclusion Unicompartmental knee arthroplasty combined with arthroscopic patellar denervation can effectively address patellofemoral arthritis while treating medial compartmental lesions of the knee.This approach reduces the incidence of postoperative anterolateral knee pain in patients with bicompartmental lesional osteoarthritis and significantly improves knee function and mobility.It enhances postoperative recovery speed and patient satisfaction with surgery.
osteoarthritis of the kneebicompartmental lesionunicompartmental knee arthroplastyarthroplastpatellar denervation
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维普
