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Volume 4 Issue 4
Oct.  2024
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Article Navigation >  Frigid Zone Medicine  > 2024  >  4(4): 252-256
Xinnan Ma, Xin Zhang, Yingkai Ma, Yonghou Zhao, Kai Liu. Arthroscopic patellar denervation with microfracture for treating patellofemoral arthritis in cold weather conditions: a retrospective clinical analysis[J]. Frigid Zone Medicine, 2024, 4(4): 252-256. doi: 10.1515/fzm-2024-0025
Citation: Xinnan Ma, Xin Zhang, Yingkai Ma, Yonghou Zhao, Kai Liu. Arthroscopic patellar denervation with microfracture for treating patellofemoral arthritis in cold weather conditions: a retrospective clinical analysis[J]. Frigid Zone Medicine, 2024, 4(4): 252-256. doi: 10.1515/fzm-2024-0025
shu

Arthroscopic patellar denervation with microfracture for treating patellofemoral arthritis in cold weather conditions: a retrospective clinical analysis

doi: 10.1515/fzm-2024-0025
  • 1.

    Department of Orthopedic Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150001, China

  • 2.

    Department of Orthopedic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, China

  • 3.

    Department of Neurology, Heilongjiang Mental Hospital, Harbin 150036, China

Funds:

grants from the Natural Science Foundation of Heilongjiang Province of China JQ2020H003

Heilongjiang Postdoctoral Fund LBH-Z23257

the Innovative Science Research Fund of Harbin Medical University (also known as Heilongjiang Provincial University's Project of Graduate Scientific Research Business Fees) 2022-KYYWF-0274

the Youth TCM scientific research Project of Heilongjiang Province TCM Administration ZHY2024-283

More Information
  • Corresponding author: Yonghou Zhao, E-mail: 3350597015@qq.com; Kai Liu, E-mail: liukai_g3@126.com
  • Received Date: 2024-02-21
  • Accepted Date: 2024-11-11
    • Available Online: 2024-10-01
    Abstract
  •   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. Posttreatment 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.

     

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