Knee arthroplasty for treating degenerative femoral intercondylar fossa impingement syndrome

doi:10.3969/j.issn.2095-4344.2015.39.004

Abstract

Abstract:

BACKGROUND: Traditionally, non-surgical treatment was used to treat degenerative femoral intercondylar fossa impingement syndrome, but it can cause function loss of cruciate ligament, or knee instability. With the development of medical technology, more and more views believed that ligament damage and combined with other knee structural damage should receive surgery as soon as possible.
OBJECTIVE: To investigate the repair effect of knee arthroplasty for treating degenerative femoral intercondylar fossa impingement syndrome, and compare with AO cannulated screw fixation.
METHODS: A total of 72 patients with degenerative femoral intercondylar fossa impingement syndrome were equally and randomly divided into treatment group and control group. Patients in the control group were treated with open AO cannulated screw fixation, and patients in the treatment group were subjected to knee arthroplasty. At 7 days after treatment, repair effect was evaluated. Before treatment and 7 days after treatment, knee function
was assessed by using Lysholm knee Scoring Scale and the international knee documentation committee knee evaluation form. All patients were followed up for 6 months after treatment to investigate the occurrence of complications.
RESULTS AND CONCLUSION: The surgery was successfully completed in all patients. At 7 days after treatment, the excellent and good rate was 94% in the treatment group and 75% in the control group. The excellent and good rate was significantly higher in the treatment group than in the control group (P < 0.05). Lysholm scores were significantly greater, but the international knee documentation committee knee evaluation form scores were significantly lower at 7 days after treatment compared with that before treatment in the treatment group (P < 0.05). Simultaneously, Lysholm scores and the international knee documentation committee knee evaluation form scores were significantly better in the treatment group than in the control group at 7 days after treatment (P < 0.05). During 6-month follow-up, wound infection, intra-articular infection, joint pain, and deep vein thrombosis were significantly less in the treatment group than in the control group (P < 0.05). These findings indicate that knee arthroplasty for degenerative femoral intercondylar fossa impingement syndrome can improve short-term efficacy, effectively restore knee function and reduce the incidence of postoperative complications.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Anterior Cruciate Ligament, Arthroplasty, Replacement, Knee, Bone Nails, Postoperative

CLC Number:

R318

Chen Hui, Wang Qun, Yan Shuang-xi, Dong Tian-yun, Zou Hai-bing. Knee arthroplasty for treating degenerative femoral intercondylar fossa impingement syndrome[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(39): 6251-6255.

Figures/Tables 5

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