Lateral patellar retinacular release combined with decomposition:Repair without damage to the patellar cartilage surface
10.3969/j.issn.2095-4344.2013.43.011
- VernacularTitle:髌外侧支持带松解加减压：不破坏髌软骨面的修复治疗
- Author:
Lixue MA
;
Zhiguo GAO
;
Jingbin LUAN
;
Qingbo KONG
;
Wei ZHAO
;
Weidong ZHANG
;
Chengbin SUN
;
Jiangang ZHAO
- Publication Type:Journal Article
- Keywords:
patella;
arthroscopes;
syndrome;
knee;
pain
- From:
Chinese Journal of Tissue Engineering Research
2013;(43):7565-7570
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Excessive lateral pressure syndrome is often associated with lateral retinacular tension and radiographic patel ar tilt. CT scan displayed that lateral retinacular release can effectively correct patel ar tilt. OBJECTIVE:To study the effect of arthroscopic lateral retinacular release combined with intraosseous dril ing and decomposition in the treatment of excessive lateral pressure syndrome. METHODS:Thirty-two patients with excessive lateral pressure syndrome were treated by arthroscopic lateral release combined with intraosseous dril ing and decomposition. The Lysholm scoring system was used to evaluate the treatment effect. RESULTS AND CONCLUSION:The mean duration of fol ow-up was 12 months. After 1 month, pain of al patients was released or disappeared;after 1 year, pain of 26 cases disappeared basical y. Lysholm scoring system assessment showed 20 cases were rated as excellent, six cases were as good, four cases were as fair and two cases were as poor. The excellent and good rate was 83.6%. The patients’ subjective satisfaction rate was 92.8%. The results indicate that arthroscopic lateral release combined with intraosseous dril ing and decomposition is a good method to treat excessive lateral pressure syndromewere. It has the advantages of less trauma and rapid recovery. Patel ar decomposition has a good effect in the treatment of patel ofemoral pain associated with patel ar tilt outward and lightens articular cartilage degeneration without damage to patel ar cartilage surface.
