Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?

Abstract Purpose Patellofemoral (PF) joint osteoarthritis (OA) is a major cause of anterior knee pain. Combined PF and medial tibiofemoral (TF) OA is common in older adults. We evaluated the effect of arthroscopic patellar denervation (PD) in patients with combined TF and PFOA after malalignment cor...

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Autores principales:	Mohamed Kamel Mohamed Said, Hatem G. Said, Hesham Elkady, Mahmoud Kamel Mohamed Said, Islam Karam-Allah Ramadan, Mohamed Abd EL-Radi
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Arthroscopic patellar denervation Anterior knee pain Patellofemoral High tibial osteotomy Tibiofemoral Osteoarthritis Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/2ac792de562d4a589ae452ebbf4d06fd
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spelling	oai:doaj.org-article:2ac792de562d4a589ae452ebbf4d06fd2021-11-14T12:27:30ZDoes arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?10.1186/s40634-021-00411-52197-1153https://doaj.org/article/2ac792de562d4a589ae452ebbf4d06fd2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40634-021-00411-5https://doaj.org/toc/2197-1153Abstract Purpose Patellofemoral (PF) joint osteoarthritis (OA) is a major cause of anterior knee pain. Combined PF and medial tibiofemoral (TF) OA is common in older adults. We evaluated the effect of arthroscopic patellar denervation (PD) in patients with combined TF and PFOA after malalignment correction. Methods Forty-five patients [females/males, 27/18; age, 30–59 years (45.5 ± 8.50); mean body mass index, 25.15 ± 3.04 kg/m2] were treated in our department from March 2017 to March 2019. The patients were randomised into 2 groups: group A included 22 patients who underwent open-wedge high tibial osteotomy (OWHTO) and arthroscopic PD and group B included 23 patients who underwent OWHTO without denervation. The effect of denervation was statistically and clinically evaluated using the Knee injury and Osteoarthritis Outcome Score (KOOS) and Kujala (anterior knee pain score) score. Results After 24 months, 40 patients were available for the final follow-up. The final values of KOOS and the Kujala score were significantly different between the groups (p < 0.001). For group A, the average KOOS improved from 42.73 to 72.38 (p < 0.001) and the Kujala score improved from 42 to 74.1 (p < 0.001), whereas in group B, the average KOOS improved from 39.22 to 56.84 (p < 0.001) and the Kujala score improved from 39.7 to 56.4 (p < 0.001). Conclusion Adding arthroscopic PD to OWHTO relieves anterior knee pain in patients with combined TF and PFOA and improves knee joint function and quality of life. Level of evidence Level I prospective randomised control clinical trial.Mohamed Kamel Mohamed SaidHatem G. SaidHesham ElkadyMahmoud Kamel Mohamed SaidIslam Karam-Allah RamadanMohamed Abd EL-RadiSpringerOpenarticleArthroscopic patellar denervationAnterior knee painPatellofemoralHigh tibial osteotomyTibiofemoralOsteoarthritisOrthopedic surgeryRD701-811ENJournal of Experimental Orthopaedics, Vol 8, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arthroscopic patellar denervation Anterior knee pain Patellofemoral High tibial osteotomy Tibiofemoral Osteoarthritis Orthopedic surgery RD701-811
spellingShingle	Arthroscopic patellar denervation Anterior knee pain Patellofemoral High tibial osteotomy Tibiofemoral Osteoarthritis Orthopedic surgery RD701-811 Mohamed Kamel Mohamed Said Hatem G. Said Hesham Elkady Mahmoud Kamel Mohamed Said Islam Karam-Allah Ramadan Mohamed Abd EL-Radi Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
description	Abstract Purpose Patellofemoral (PF) joint osteoarthritis (OA) is a major cause of anterior knee pain. Combined PF and medial tibiofemoral (TF) OA is common in older adults. We evaluated the effect of arthroscopic patellar denervation (PD) in patients with combined TF and PFOA after malalignment correction. Methods Forty-five patients [females/males, 27/18; age, 30–59 years (45.5 ± 8.50); mean body mass index, 25.15 ± 3.04 kg/m2] were treated in our department from March 2017 to March 2019. The patients were randomised into 2 groups: group A included 22 patients who underwent open-wedge high tibial osteotomy (OWHTO) and arthroscopic PD and group B included 23 patients who underwent OWHTO without denervation. The effect of denervation was statistically and clinically evaluated using the Knee injury and Osteoarthritis Outcome Score (KOOS) and Kujala (anterior knee pain score) score. Results After 24 months, 40 patients were available for the final follow-up. The final values of KOOS and the Kujala score were significantly different between the groups (p < 0.001). For group A, the average KOOS improved from 42.73 to 72.38 (p < 0.001) and the Kujala score improved from 42 to 74.1 (p < 0.001), whereas in group B, the average KOOS improved from 39.22 to 56.84 (p < 0.001) and the Kujala score improved from 39.7 to 56.4 (p < 0.001). Conclusion Adding arthroscopic PD to OWHTO relieves anterior knee pain in patients with combined TF and PFOA and improves knee joint function and quality of life. Level of evidence Level I prospective randomised control clinical trial.
format	article
author	Mohamed Kamel Mohamed Said Hatem G. Said Hesham Elkady Mahmoud Kamel Mohamed Said Islam Karam-Allah Ramadan Mohamed Abd EL-Radi
author_facet	Mohamed Kamel Mohamed Said Hatem G. Said Hesham Elkady Mahmoud Kamel Mohamed Said Islam Karam-Allah Ramadan Mohamed Abd EL-Radi
author_sort	Mohamed Kamel Mohamed Said
title	Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
title_short	Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
title_full	Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
title_fullStr	Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
title_full_unstemmed	Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
title_sort	does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/2ac792de562d4a589ae452ebbf4d06fd
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Does arthroscopic patellar denervation with high tibial osteotomy improve anterior knee pain?

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