دردهاي مفصل پاتلو فمورال به دنبال بيماري دژنراتيو مفصلي درمانهاي حمايتي و جراحي

Patella femoral joint pain due to degenerative joint disease, conservative and surgical treatment

Backgrouod aod Aim: Degenerative joint disease in patella femoral joint causes disabling pain in knee motion. When conservative treatment fails, surgery is indicated. In advanced stage those operations that release the stresses on the patella femoral joint by correcting the biomechanics of the joint may be more useful for patients. Tn this study, we analyzed the clinical outcomes following conservative methods and surgical treatment with tibial tuberosity transfer. Materials aod Methods: Fifty patients, who had severe patella femoral arthritis, after true clinical and radiographic evaluation, were treated with conservative methods. For those patients that did not have improvement after three months and were agree with surgical treatment, tibial tuberosity transfer was done. Patients were followed for one year and were asked about decrease of pain and improvement in daily living function. Results: Altogether, 12 patients (24%) had improvement with conservative methods and in 34 patients after conservative treatment failure who agreed to have surgical treatment had 13 acceptable results (38.2%). Conclusion: In advanced DID of patella femoral joint, patients not responding to conservative treatment, may have surgical treatment. Anterior transfer of tibial tuberosity can be considered as a last choice of surgery before TKA and can be accepted and considered.