| Objective: To explore the clinical effect of arthroscopic joint cleaning and lateral support band loosening in patients with early knee patellofemoral arthritis combined with patellofemoral lateral support band contraction,and to provide reference for the treatment of early patellofemoral arthritis.Methods: Collect unilateral patellofemoral arthritis patients from the Department of Joint Orthopaedics,affiliated Hospital of Qinghai University,January2021,After being screened for inclusion criteria and exclusion criteria,The 85 patients who met the study conditions were divided into experimental group(A group)and control group(B group).A group: a total of 40 patients,after admission to improve the patients,Lysholm score and VAS score,all 40 patients were treated by the same surgeon under arthroscopy joint cleaning and lateral support release,postoperative treatment,after discharge patients were told to follow up regularly in the first month,the third month,the sixth month,follow-up to improve the knee Lysholm score,VAS score.B group :45 patients were given conservative treatment instruction by Lysholm same physician,such as guiding and teaching patients to exercise the function of quadriceps femoris,guiding patients to take oral aminoglycoside drugs to nourish cartilage,and giving patients oral analgesic treatment during acute pain,etc.Patients were also told to review regularly during the above time period,and to improve the Lysholm score and VAS score in each time period,Application SSPS25.0 software processing data,Through the comparison of experimental data between the two groups before and after treatment and between the two groups,To analyze the clinical effect of arthroscopic joint cleaning and lateral support release in early patellofemoral arthritis patients.Results: The experimental group(A group)and the control group(B group)were followed up for more than 6 months.(1)Comparison of general inter-group data such as number,age,body mass index(BMI),knee Lysholm score(A group,34.38±4.84,B group,32.76±4.19)and VAS score(A group,6.13±0.85,B group,6.18±0.83)the two groups before treatment,(P>0.05),The two sets of data are comparable.(2)Knee Lysholm score for months 1,3 and 6 after treatment,A group70.38±3.36,B group 41.24±8.17,respectively;Third month A group 75.78±2.40,B group 55.87,8.91;month 6 A group 82.40±3.19,B group 72.51±6.45.After treatment,VAS 1,3,6,They were A group 4.03±1.31,B group5.47±1.46;Third month A group1.73±0.82,B group 4.02±1.18;Six months A group 0.56±0.64,B group 2.11±0.93,The results were statistically different A、B the two groups before and after treatment(P<0.05),indicating that the two treatment methods were effective,and then the two groups were compared between groups at the same time.There was statistical difference(P<0.05),indicating that the effect of surgical treatment was better than that of conservative treatment.(3)The remission rates of symptoms in the A group and the B group were 85.00% and 62.22%,respectively.The difference between the two groups was statistically significant(P<0.05),indicating that the treatment method in the experimental group was better than that in the control group.Conclusion: Arthroscopic minimally invasive treatment and traditional conservative treatment have certain clinical efficacy in early patellofemoral inflammation patients.However,compared with conservative treatment,arthroscopic joint cleaning and lateral support release were used to relieve pain earlier,knee joint function recovered more quickly and clinical effect was more obvious.Therefore,the treatment options for early patellofemoral arthritis patients can be added. |
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