Outcome of arthroscopic radiofrequency denervation of the patella in management of resistant patellofemoral pain syndrome
The Egyptian Orthopaedic Journal • 2017
Publication Information
Authors
Mohamed Singer, Abdelsamie Halawa
Keywords
patellar denervation, patellofemoral pain, arthroscopic patellar denervation
patellar denervation, patellofemoral pain, arthroscopic patellar denervation
Journal
The Egyptian Orthopaedic Journal
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
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Abstract
Abstract:
Purpose: Assessment of outcome of arthroscopic radiofrequency desensitization of the patella in patients with resistant patellofemoral pain syndrome
Methods: Thirty-two patients with patellofemoral pain syndrome were included, after failure of conservative treatment for at least 6 months. Exclusion criteria included lower limb mal-alignment, patellofemoral instability, or associated meniscal or knee ligamentous injuries. Arthroscopic patellar desensitization was done using radiofrequency ablation device.
Results: The average duration of follow-up was 36.8 months (range 24 to 48). At final follow-up, the post-operative pain VAS improved from 7.4 (range 5 to 9) preoperatively to 2.3 (range 1 to 4). The post-operative Lysholm score improved significantly from 63.5 (range 56- 71) to 90.5 (range 86-95) (P < 0.00001), while Kujala score improved significantly from 70.75(range 62-81) to 88.5 (range 81-96) (P < 0.00001).
Conclusion: Arthroscopic patellar desensitization is a simple procedure that has good results and no complications in the management of resistant patellofemoral pain syndrome
Keywords: patellar denervation, patellofemoral pain, arthroscopic patellar denervation
Purpose: Assessment of outcome of arthroscopic radiofrequency desensitization of the patella in patients with resistant patellofemoral pain syndrome
Methods: Thirty-two patients with patellofemoral pain syndrome were included, after failure of conservative treatment for at least 6 months. Exclusion criteria included lower limb mal-alignment, patellofemoral instability, or associated meniscal or knee ligamentous injuries. Arthroscopic patellar desensitization was done using radiofrequency ablation device.
Results: The average duration of follow-up was 36.8 months (range 24 to 48). At final follow-up, the post-operative pain VAS improved from 7.4 (range 5 to 9) preoperatively to 2.3 (range 1 to 4). The post-operative Lysholm score improved significantly from 63.5 (range 56- 71) to 90.5 (range 86-95) (P < 0.00001), while Kujala score improved significantly from 70.75(range 62-81) to 88.5 (range 81-96) (P < 0.00001).
Conclusion: Arthroscopic patellar desensitization is a simple procedure that has good results and no complications in the management of resistant patellofemoral pain syndrome
Keywords: patellar denervation, patellofemoral pain, arthroscopic patellar denervation
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