Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty

Detalhes bibliográficos
Autor(a) principal: Sadigursky,David
Data de Publicação: 2017
Outros Autores: Sampaio,Felipe Magalhães, Andrade,Eron Silva, Almeida,Perseu Ribeiro, Pinheiro,Magda Leão, Mendes,Matheus Vasconcelos Goes, Queiroz,Gustavo Castro de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: MedicalExpress (São Paulo. Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2358-04292017000100003
Resumo: OBJECTIVE: To compare the effectiveness of patellar denervation versus non-patellar denervation in reducing anterior knee pain on a follow-up period of at least one year after total knee arthroplasty. METHOD: Data from 84 patients, who underwent total knee arthroplasty were analyzed. Participants were divided into 2 groups; group A: 42 patients who previously underwent total knee arthroplasty with patellar denervation; and group B: 42 patients who previously underwent total knee arthroplasty without patellar denervation. Results were evaluated using WOMAC and KSS questionnaires, and the VAS pain measurement. Knee ranges of motion were measured. Preoperative clinical conditions of both groups were similar. RESULTS: Postoperatively, the following results were observed. (a), the WOMAC scores for group A were significant better when compared to group B (27.95 ± 5.89 vs. 33,55 ± 6.23; (b) better results were also found in KSS scores for group A vs. group B (86.19 ± 7.10 vs. 83,07 ± 4.88); (c) the range of knee flexion was smaller than in group A vs. group B (119.0 ± 10.7 vs 125.5 ± 11.0 degrees); (d) there was no significant difference between the mean of range of knee extension between the two groups groups; (e) in terms pain referred by the patient, no difference was observed according to VAS pain. CONCLUSION: Patellar denervation does not show better effect in pain reduction compared with TKA with non-patellar denervation. However, it had a better beneficial effect on knee function score, as measured through the KSS and WOMAC questionnaires.
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spelling Patellar denervation for Anterior Knee Pain Management in Knee ArthroplastyPatellaKnee ArthroplastyJoint Pain OBJECTIVE: To compare the effectiveness of patellar denervation versus non-patellar denervation in reducing anterior knee pain on a follow-up period of at least one year after total knee arthroplasty. METHOD: Data from 84 patients, who underwent total knee arthroplasty were analyzed. Participants were divided into 2 groups; group A: 42 patients who previously underwent total knee arthroplasty with patellar denervation; and group B: 42 patients who previously underwent total knee arthroplasty without patellar denervation. Results were evaluated using WOMAC and KSS questionnaires, and the VAS pain measurement. Knee ranges of motion were measured. Preoperative clinical conditions of both groups were similar. RESULTS: Postoperatively, the following results were observed. (a), the WOMAC scores for group A were significant better when compared to group B (27.95 ± 5.89 vs. 33,55 ± 6.23; (b) better results were also found in KSS scores for group A vs. group B (86.19 ± 7.10 vs. 83,07 ± 4.88); (c) the range of knee flexion was smaller than in group A vs. group B (119.0 ± 10.7 vs 125.5 ± 11.0 degrees); (d) there was no significant difference between the mean of range of knee extension between the two groups groups; (e) in terms pain referred by the patient, no difference was observed according to VAS pain. CONCLUSION: Patellar denervation does not show better effect in pain reduction compared with TKA with non-patellar denervation. However, it had a better beneficial effect on knee function score, as measured through the KSS and WOMAC questionnaires.Mavera Edições Técnicas e Científicas Ltda2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2358-04292017000100003MedicalExpress v.4 n.1 2017reponame:MedicalExpress (São Paulo. Online)instname:Mavera Edições Científicas e Técnicas Ltda-MEinstacron:METC10.5935/medicalexpress.2017.01.03info:eu-repo/semantics/openAccessSadigursky,DavidSampaio,Felipe MagalhãesAndrade,Eron SilvaAlmeida,Perseu RibeiroPinheiro,Magda LeãoMendes,Matheus Vasconcelos GoesQueiroz,Gustavo Castro deeng2017-03-21T00:00:00Zoai:scielo:S2358-04292017000100003Revistahttp://www.medicalexpress.net.brhttps://old.scielo.br/oai/scielo-oai.php||medicalexpress@me.net.br2358-04292318-8111opendoar:2017-03-21T00:00MedicalExpress (São Paulo. Online) - Mavera Edições Científicas e Técnicas Ltda-MEfalse
dc.title.none.fl_str_mv Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
title Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
spellingShingle Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
Sadigursky,David
Patella
Knee Arthroplasty
Joint Pain
title_short Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
title_full Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
title_fullStr Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
title_full_unstemmed Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
title_sort Patellar denervation for Anterior Knee Pain Management in Knee Arthroplasty
author Sadigursky,David
author_facet Sadigursky,David
Sampaio,Felipe Magalhães
Andrade,Eron Silva
Almeida,Perseu Ribeiro
Pinheiro,Magda Leão
Mendes,Matheus Vasconcelos Goes
Queiroz,Gustavo Castro de
author_role author
author2 Sampaio,Felipe Magalhães
Andrade,Eron Silva
Almeida,Perseu Ribeiro
Pinheiro,Magda Leão
Mendes,Matheus Vasconcelos Goes
Queiroz,Gustavo Castro de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Sadigursky,David
Sampaio,Felipe Magalhães
Andrade,Eron Silva
Almeida,Perseu Ribeiro
Pinheiro,Magda Leão
Mendes,Matheus Vasconcelos Goes
Queiroz,Gustavo Castro de
dc.subject.por.fl_str_mv Patella
Knee Arthroplasty
Joint Pain
topic Patella
Knee Arthroplasty
Joint Pain
description OBJECTIVE: To compare the effectiveness of patellar denervation versus non-patellar denervation in reducing anterior knee pain on a follow-up period of at least one year after total knee arthroplasty. METHOD: Data from 84 patients, who underwent total knee arthroplasty were analyzed. Participants were divided into 2 groups; group A: 42 patients who previously underwent total knee arthroplasty with patellar denervation; and group B: 42 patients who previously underwent total knee arthroplasty without patellar denervation. Results were evaluated using WOMAC and KSS questionnaires, and the VAS pain measurement. Knee ranges of motion were measured. Preoperative clinical conditions of both groups were similar. RESULTS: Postoperatively, the following results were observed. (a), the WOMAC scores for group A were significant better when compared to group B (27.95 ± 5.89 vs. 33,55 ± 6.23; (b) better results were also found in KSS scores for group A vs. group B (86.19 ± 7.10 vs. 83,07 ± 4.88); (c) the range of knee flexion was smaller than in group A vs. group B (119.0 ± 10.7 vs 125.5 ± 11.0 degrees); (d) there was no significant difference between the mean of range of knee extension between the two groups groups; (e) in terms pain referred by the patient, no difference was observed according to VAS pain. CONCLUSION: Patellar denervation does not show better effect in pain reduction compared with TKA with non-patellar denervation. However, it had a better beneficial effect on knee function score, as measured through the KSS and WOMAC questionnaires.
publishDate 2017
dc.date.none.fl_str_mv 2017-02-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.5935/medicalexpress.2017.01.03
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dc.publisher.none.fl_str_mv Mavera Edições Técnicas e Científicas Ltda
publisher.none.fl_str_mv Mavera Edições Técnicas e Científicas Ltda
dc.source.none.fl_str_mv MedicalExpress v.4 n.1 2017
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