Arthroscopic patellar denervation with microfracture for treating patellofemoral arthritis in cold weather conditions:a retrospective clinical analysis
Xinnan Ma1
Xin Zhang2
Yingkai Ma1
Yonghou Zhao3
Kai Liu1
1.Department of Orthopedic Surgery,The Second Affiliated Hospital of Harbin Medical University,Harbin 150001,China2.Department of Orthopedic Surgery,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China3.Department of Neurology,Heilongjiang Mental Hospital,Harbin 150036,China
摘要：Objective:To evaluate the clinical efficacy of combining arthroscopic patellar denervation with microfracture in the treatment of patellofemoral arthritis under cold weather conditions.Methods:A total of 134 patients with patellofemoral arthritis who underwent treatment between June 2019 and June 2021 were included in this study.Patients were randomly divided into two groups:the control group,which received standard arthroscopic debridement and conventional therapy,and the study group,which underwent additional peripatellar denervation and microfracture procedures.Clinical outcomes,including Tegner scores,hospital for special surgery(HSS)scores,and treatment-related adverse events,were evaluated and compared between the two groups.Results:The study group achieved a significantly higher excellent treatment rate(95.52%,64/67)compared to the control group.Post-treatment Tegner scores(5.48±1.86)and HSS scores(86.37±11.25)were also significantly better in the study group than in the control group.Furthermore,the incidence of adverse reactions was lower in the study group(4.48%,3/67),with statistically significant differences observed(P<0.05).Conclusions:Arthroscopic patellar denervation combined with microfracture markedly improves clinical outcomes,including Tegner and HSS scores,in the treatment of patellofemoral arthritis,particularly under cold weather conditions.The procedure is effective and safe,supporting its broader clinical application.
机标关键词：microfractureconditionsanalysisclinicalcoldwitharthritisarthroscopic
论文发表日期：2024-10-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 252-256 )
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