Evaluation of Results of Arthroscopic Patellar Denervation for Treatment of Patellofemoral Pain | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 287-293 PDF (501.07 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449744 | ||
| Authors | ||
| EL Sayed M. Zaki; Amr E. Darwish; Mina M. Shawky* ; Ahmed N.-E. El Barbary | ||
| Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt. | ||
| Abstract | ||
| Background One of the most prevalent knee diseases among patients who visit orthopedic practitioners is patellofemoral pain. A minimally invasive procedure that preserves the joint, arthroscopic patellar denervation, may help with anterior knee painy. Objective To evaluate the results of the denervation of patella in patients with patellofemoral pain by arthroscopy. Patients and Methods A randomized study included 21 patients who have arthroscopic denervation of the patella, at the orthopedic department of Menoufia University Hospital during the period from March 2022 till March 2023. Results After 6 months (17.9±15.69) and 12 months (15.3±14.69), the visual analog scale score for pain considerably decreased in comparison to the preoperative score (81.4±5.04) (P<0.001). Additionally, there was a substantial rise in both Kujala and Lysholm ratings during the follow-up period compared with the preoperative period (P<0.001). Furthermore, two (9.5%) patients had patellar malalignment, and one (4.8%) patient had arthritis, based on radiography results at one year of follow-up. Postoperative problems included hemarthrosis in two (9.52%) individuals and quadriceps muscle atrophy in four (19.05%) patients. Conclusions Arthroscopic patellar denervation appears to reduce anterior knee pain and enhance clinical and radiological results, according to the data. To validate these findings, more extensive long-term prospective comparison series are required. | ||
| Keywords | ||
| Chondromalacia; Osteoarthritis; Patellar denervation; Patellofemoral pain | ||
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