单髁置换术中髌骨去神经化对术后早期膝前疼痛与膝关节功能的影响

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Abstract Objective To analyze the effect of patellar denervation in unicompartmental knee arthroplasty (UKA) on early postoperative anterior knee pain and knee function.Methods A retrospective study was conducted to analyze 80 patients with knee osteoarthritis (KOA) admitted to the Department of Osteoarthritis of Chifeng Municipal Hospital from December 2018 to April 2020.Forty patients with peripheral denervation treatment were included in the observation group，and 40 patients without peripheral denervation treatment of the patella during the same period were selected and included in the control group.Observation group included 10 males and 30 females average age was (62.13±7.78)years (range，46~77 years).The 20 cases of right knee and 20 cases of left knee.Control group had 8 males and 32 females.The average age was (62.23±7.14)years (range，47~76 years).There were 19 cases of right knee and 21 cases of left knee.Outpatient follow-up was performed at 3 months，6 months，12 months，and 24 months after operation.The last follow-up was used as the criterion.The Feller patella score，hospital for special surgery (HSS) knee score，the Western Ontario and McMaster Universities(WOMAC) osteoarthritis index and the incidence of anterior knee pain were collected.The resulting data analyzed the effect of peripatellar denervation in UKA on early postoperative anterior knee pain and knee function.Results All patients in this study were followed-up until 24 months after operation.At the last follow-up，the Feller patella score in the observation group was significantly higher than that in the control group，and the difference was statistically significant (P＜0.05).There was no significant difference in the scores，and the difference was not statistically significant (P＞0.05).The incidence of postoperative knee pain in the observation group was 10.0%(4/40)，which was lower than that in the control group，27.5%(11/40)，and the difference was statistically significant (P＜0.05).Conclusion Denervation around the patella in UKA can effectively reduce the incidence of anterior knee pain，improve quadriceps muscle strength，and improve knee function in the early postoperative period.

Key words： knee osteoarthritis unicompartmental knee arthroplasty patella peripheral denervation surgery anterior knee pain

Corresponding Authors: Sun Zhiwen

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	Lyu Xin
	Su Rina
	Sun Zhiwen
	Zhang Yibo
	Chen Xiaowei
	Zheng Hongmei

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Lyu Xin,Su Rina,Sun Zhiwen, et al. Effect of Patellar Denervation on Early Postoperative Anterior Knee Pain and Knee Function in Unicompartmental Knee Arthroplasty[J]. sygkzz, 2022, 28(10): 903-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I10/903

［1］Sanjurjo-Rodriguez C，Baboolal TG，Burska AN，et al.Gene expression and functional comparison between multipotential stromal cells from lateral and medial condyles of knee osteoarthritis patients［J］.Sci Rep，2019，9(1)：9321.
［2］黄野.坚持膝关节骨关节炎的阶梯化治疗［J］.实用骨科杂志，2020，26(12)：1057-1058.
［3］Strickland LH，Rahman A，Jenkinson C，et al.Early recovery following total and unicompartmental knee arthroplasty assessed using novel patient-reported measures［J］.J Arthroplasty，2021，36(10)：3413-3420.
［4］张战峰，车向东，徐文龙，等.膝关节单髁置换术中髌骨去神经化对患者早期膝前疼痛与膝关节功能的影响［J］.中国骨与关节损伤杂志，2021，36(12)：1310-1311.
［5］Suwankomonkul P，Arirachakaran A，Kongtharvonskul J.Short-term improvement of patellofemoral pain in medial unicompartmental knee arthroplasty with patellar denervation：a prospective comparative study［J］.Musculoskelet Surg，2022，106(1)：75-82.
［6］王承群，王国栋，张元民.减少髌骨厚度对膝关节置换术后髌股关节功能的影响［J］.中华老年骨科与康复电子杂志，2019，5(5)：274-278.
［7］Insall JN，Ranawat CS，Aglietti P，et al.A comparison of four models of total knee-replacement prostheses［J］.J Bone Joint Surg(Am)，1976，58(6)：754-765.
［8］Bellamy N，Buchanan WW，Goldsmith CH，et al.Validation study of WOMAC：A health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee［J］.J Rheumatol，1988，15(12)：1833-1840.
［9］SanjurjoRodriguez C，Baboolal TG，Burska AN，et al.Gene expression and functional comparison between multipotential stromal cells from lateral and medial condyles of knee osteoarthritis patients［J］.Sci Rep，2019，9(1)：9321.
［10］Basso M，Arnaldi E，Bruno AAM，et al.Outcomes of cementless fixation in medial unicompartmental knee arthroplasty：Review of recent literature［J］.Musculoskelet Surg，2021，105(2)：131-138.
［11］Rodkey DL，McMillan LJ，Slaven SE，et al.Unicompartmental knee arthroplasty：More conversions，fewer complications than proximal tibial osteotomy in a young population［J］.J Arthroplasty，2021，36(12)：3878-3882.
［12］张启栋，刘沛，卢非凡，等.加速康复外科管理模式在初次单髁关节置换中的临床应用观察［J］.中国骨与关节杂志，2020，9(10)：746-751.
［13］Namazi N，Jaberi FM，Pakbaz S，et al.Does patellar rim electrocautery have deleterious effects on patellar cartilage?［J］.Knee，2014，21(2)：524-528.
［14］刘艳伟，孟爱霞，谢双喜，等.关节镜清理加髌骨周围去神经化术治疗髌股关节炎的疗效观察［J］.实用骨科杂志，2018，24(11)：1037-1039.
［15］Xie X，Pei F，Huang Z，et al.Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?［J］.Knee Surg Sports Traumatol Arthrosc，2015，23(6)：1808-1815.

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