Arthroscopic Lateral Patellar Facetectomy and Lateral Release Can Be Recommended for Isolated Patellofemoral Osteoarthritis

Douiri, Adil; Lavoué, Vincent; Galvin, Joseph W.; Boileau, Pascal; Trojani, Christophe

doi:10.1016/j.arthro.2021.06.021

Cited by 9 publications

(4 citation statements)

References 29 publications

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“…It has obvious effects on improving joint wear and meniscus damage, removing abnormal knee joint debris and proliferative tissue, and improving joint mobility. After knee arthroscopy, most patients can effectively control the development of the disease and avoid the need for knee replacement [ 13 , 14 ]. In this study, the WOMAC scores of 41 control patients were significantly reduced after arthroscopic surgery, and the bone metabolism indexes and oxidative stress indexes were well improved, indicating that arthroscopic surgery does have a certain therapeutic effect on KOA patients.…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Effects of Modified Duhuo Jisheng Decoction Combined with Arthroscopic Surgery on Bone Metabolism, Oxidative Stress, and Serum TLR4 and TGF‐β1 in Patients with Knee Osteoarthritis

Zeng

Lin

2022

Journal of Environmental and Public Health

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Objective. To analyze the effects of modified Duhuo Jisheng Decoction combined with arthroscopic surgery on bone metabolism, oxidative stress, and serum TLR4 and TGF-β1 in patients with knee osteoarthritis (KOA). Methods. Prospectively select 82 patients with KOA from January 2020 to January 2022 in our hospital and divide them into the control group and observation group according to the random number table method, with 41 patients in each group. The control group was treated with arthroscopic surgery alone and routine anti-infection after operation. The observation group was treated with Duhuo Jisheng Decoction on the basis of the treatment of the control group. The patients in the two groups were treated continuously for 4 weeks. The improvement of patients’ symptoms was evaluated by the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Before treatment and 4 weeks after treatment, the scores of traditional Chinese medicine (TCM) symptoms, bone metabolism indicators (cartilage oligomeric matrix protein (COMP), collagen type II carboxy terminal peptide (ctx-II), and matrix metalloproteinase-3 (MMP-3)), oxidative stress indicators (superoxide dismutase (SOD), glutathione peroxidase (GSHPx), malondialdehyde (MDA), nitric oxide (NO)), serum Toll-like receptor 4 (TLR4), and transforming growth factor β (TGF-β) level were compared between the two groups. Results. After treatment, the WOMAC score of the two groups decreased ( 42.45 ± 10.83 ) in the observation group and ( 67.81 ± 14.63 ) in the control group. The WOMAC score of the observation group was lower than that of the control group ( P < 0.05 ). After treatment, the levels of COMP, CTX-II, and MMP-3 in the two groups decreased, and the levels of COMP, CTX-II, and MMP-3 in the observation group were lower than those in the control group ( P < 0.05 ). After treatment, the levels of SOD and GSHPx increased, while the levels of MDA and NO decreased in the two groups. The levels of SOD and GSHPx in the observation group were higher than those in the control group, while the levels of MDA and NO were lower than those in the control group ( P < 0.05 ). After treatment, the TLR4 level in the observation group was lower than that of the control group, and the level of TGF-β in the observation group was higher than that of the control group ( P < 0.05 ). Conclusion. Compared with arthroscopic surgery alone, combined with modified Duhuo Jisheng Decoction can better alleviate the clinical symptoms of patients with KOA, improve their bone metabolism, oxidative stress indicators, and serum TLR4 and TGF-β 1 level, and reduce the inflammatory injury of knee joint.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Effects of Modified Duhuo Jisheng Decoction Combined with Arthroscopic Surgery on Bone Metabolism, Oxidative Stress, and Serum TLR4 and TGF‐β1 in Patients with Knee Osteoarthritis

Zeng

Lin

2022

Journal of Environmental and Public Health

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“…[ 26 , 28 ] Furthermore, there is no consensus on the most optimal approach for the treatment of patients with PF arthritis based on studies that have shown positive outcomes. [ 2 , 29 , 30 ] Some authors have reported remarkable negative changes in areas with patellar cartilage damage in various situations, such as the surgical results of patellar subluxation or luxation. Consequently, several of these techniques are not favored by surgeons.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the relationship between the anatomical characteristics of the vastus medialis obliquus muscle and the patella chondral lesion occurrence

Davut,

Doğramacı

2024

Jt Dis Relat Surg

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“…Lateral patellar facetectomy [ 7 ], lateral retinaculum lengthening [ 30 ], patellofemoral arthroplasty [ 1 , 8 , 15 , 16 , 32 ], and joint-preserving osteotomies, such as anteromedialization tibial tubercle osteotomy [ 2 ], are widely accepted surgical treatment options for patients with symptomatic patellofemoral arthritis (PFA) [ 20 ]. Although the etiology of PFA is still debated, PFA is most often found on the lateral aspect of the patellar facet and the corresponding area of the trochlea, and may develop secondary to osteochondral injuries, trochlear dysplasia and/or lateral patellar instability [ 13 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Varus osteotomy as a salvage procedure for young patients with symptomatic patellofemoral arthritis and valgus malalignment at short- to mid-term follow-up: a case series

Hinz,

Weyer,

Brunner

et al. 2024

Arch Orthop Trauma Surg

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Purpose The purpose of the study was to report the clinical, functional and radiological outcome following varus osteotomy as a salvage procedure in young to middle-aged patients with patellofemoral arthritis (PFA) and associated valgus malalignment. It was hypothesized that a significant improvement in knee function and reduction in pain would be achieved. Moreover, no conversion to patellofemoral joint arthroplasty could be observed. Material and methods Patients (< 50 years of age) that underwent varus osteotomy between 08/2012 and 01/2020 for the treatment of symptomatic PFA and associated valgus malalignment were consecutively included (minimum follow-up: 24 months). Patient-reported outcome measures (PROM; International Knee Documentation Committee subjective knee form [IKDC]), Visual Analog Scale [VAS] for pain, Tegner Activity Scale [TAS], and satisfaction with the postoperative results (1–10-scale, 10 = highest satisfaction) and weight-bearing whole-leg anteroposterior radiographs were conducted pre- and postoperatively. The change in PROM and femorotibial angle (FTA) were tested for statistical significance. Results In total, 12 patients (14 knees) were included (66.7% female; mean age: 33.8 ± SD 6.6 years). In ten cases, lateral opening-wedge distal femoral osteotomies (DFO) were performed, of which three cases included a concomitant femoral derotation. Three medial closing-wedge DFO and one medial closing-wedge high tibial osteotomy were performed. At follow-up (55.3 ± 29.3 months), a significant improvement in knee function (IKDC: 56.4 ± 14.4 to 69.1 ± 11.2, p = 0.015) and reduction in pain (VAS for pain: 3.5 [interquartile range 2.3–5.8] to 0.5 [0–2.0], p = 0.018) were observed. Patients were able to reach their preoperative sporting activity level (TAS: 3.0 [3.0–4.0] to 3.5 [3.0–4.0], p = 0.854) and were highly satisfied with the postoperative result (9.0 [6.5–10]). Additionally, a significant correction of valgus malalignment was observed (5.0° ± 2.9° valgus to 0.7° ± 3.2° varus, p < 0.001). Regarding complications, two re-osteosyntheses were performed due to loss of correction and delayed union. No conversion to patellofemoral arthroplasty occurred. Conclusion In patients with symptomatic PFA and associated valgus malalignment, varus osteotomy as a salvage procedure achieved a significant improvement in knee function and reduction in pain. No conversion to patellofemoral joint arthroplasty occurred at short- to mid-term follow-up. Level of evidence Retrospective case series, Level IV.

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Arthroscopic Lateral Patellar Facetectomy and Lateral Release Can Be Recommended for Isolated Patellofemoral Osteoarthritis

Cited by 9 publications

References 29 publications

[Retracted] Effects of Modified Duhuo Jisheng Decoction Combined with Arthroscopic Surgery on Bone Metabolism, Oxidative Stress, and Serum TLR4 and TGF‐β1 in Patients with Knee Osteoarthritis

[Retracted] Effects of Modified Duhuo Jisheng Decoction Combined with Arthroscopic Surgery on Bone Metabolism, Oxidative Stress, and Serum TLR4 and TGF‐β1 in Patients with Knee Osteoarthritis

Evaluation of the relationship between the anatomical characteristics of the vastus medialis obliquus muscle and the patella chondral lesion occurrence

Varus osteotomy as a salvage procedure for young patients with symptomatic patellofemoral arthritis and valgus malalignment at short- to mid-term follow-up: a case series

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