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The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study

The purpose of this study was to investigate the patellofemoral joint adaptive changes after discoid lateral meniscus (DLM) plasty. Forty-one patients with unilateral complete type DLM tears were included in this study. Demographic variables, including gender, age, body mass index (BMI), injury to o...

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Autores principales: Dong, Jiangtao, Xu, Hongtao, Jin, Guorong, Xin, Dongmei, Zhang, Jian, Kang, Kai, Gao, Shijun, Chen, Baicheng, Shen, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944665/
https://www.ncbi.nlm.nih.gov/pubmed/29419685
http://dx.doi.org/10.1097/MD.0000000000009827
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author Dong, Jiangtao
Xu, Hongtao
Jin, Guorong
Xin, Dongmei
Zhang, Jian
Kang, Kai
Gao, Shijun
Chen, Baicheng
Shen, Yong
author_facet Dong, Jiangtao
Xu, Hongtao
Jin, Guorong
Xin, Dongmei
Zhang, Jian
Kang, Kai
Gao, Shijun
Chen, Baicheng
Shen, Yong
author_sort Dong, Jiangtao
collection PubMed
description The purpose of this study was to investigate the patellofemoral joint adaptive changes after discoid lateral meniscus (DLM) plasty. Forty-one patients with unilateral complete type DLM tears were included in this study. Demographic variables, including gender, age, body mass index (BMI), injury to operation interval, type of injury, and follow-up time, were recorded. The evolution of physical examination, imaging index, and functional score were analyzed by Chi-squared test, Wilcoxon signed ranks test, and Friedman test. Mann–Whitney test was used to analyze the difference at different time points between group PFI > 1.6 and PFI < 1.6. After the patients received arthroscopic DLM plasty, the positive rate of Patella grinding test increased from 19.5% to 29.3%, and it showed significant increased at last follow-up time point (48.8%) (P = .005). Mechanical axis deviation (MAD) significant decreased from −0.7 ± 2.1 mm to −9.4 ± 3.2 mm (P < .001). Lateral patellofemoral angle (LPFA) and lateral shift distance (LSD), respectively, decreased from 11.9 ± 5.8° and 1.0 ± 4.0 mm to 7.2 ± 4.5° and −0.5 ± 3.3 mm (P < .001). Patellofemoral index (PFI) increased from 1.7 ± 0.3 to 1.9 ± 0.4 (P < .001). Kujala score and Lysholm score, respectively, increased from 65.9 ± 10.0 and 85.2 ± 6.4 mm to 61.8 ± 10.2 and 89.5 ± 5.0 (P < .001). Only LSD in group > 1.6 were significant lower than those in group < 1.6 (>1.6: −1.5 ± 2.8, −1.6 ± 2.7, −1.5 ± 2.6; <1.6: 0.8 ± 3.4, 0.4 ± 3.6, 0.6 ± 2.8. P = .010,.038,.011) at the 3 postoperative follow-up time points. After arthroscopic plasty for complete type DLM which decreased the thickness and width of the residual meniscus, in turn causing the varus deformity significantly decreased or a valgus inclination developed. Moreover, the consequent changes of patellofemoral joint caused a certain amount of patellar tilt and patellar dislocation, might aggravated the symptomatic anterolateral knee pain or the lateral patellar compression syndrome.
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spelling pubmed-59446652018-05-17 The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study Dong, Jiangtao Xu, Hongtao Jin, Guorong Xin, Dongmei Zhang, Jian Kang, Kai Gao, Shijun Chen, Baicheng Shen, Yong Medicine (Baltimore) Research Article The purpose of this study was to investigate the patellofemoral joint adaptive changes after discoid lateral meniscus (DLM) plasty. Forty-one patients with unilateral complete type DLM tears were included in this study. Demographic variables, including gender, age, body mass index (BMI), injury to operation interval, type of injury, and follow-up time, were recorded. The evolution of physical examination, imaging index, and functional score were analyzed by Chi-squared test, Wilcoxon signed ranks test, and Friedman test. Mann–Whitney test was used to analyze the difference at different time points between group PFI > 1.6 and PFI < 1.6. After the patients received arthroscopic DLM plasty, the positive rate of Patella grinding test increased from 19.5% to 29.3%, and it showed significant increased at last follow-up time point (48.8%) (P = .005). Mechanical axis deviation (MAD) significant decreased from −0.7 ± 2.1 mm to −9.4 ± 3.2 mm (P < .001). Lateral patellofemoral angle (LPFA) and lateral shift distance (LSD), respectively, decreased from 11.9 ± 5.8° and 1.0 ± 4.0 mm to 7.2 ± 4.5° and −0.5 ± 3.3 mm (P < .001). Patellofemoral index (PFI) increased from 1.7 ± 0.3 to 1.9 ± 0.4 (P < .001). Kujala score and Lysholm score, respectively, increased from 65.9 ± 10.0 and 85.2 ± 6.4 mm to 61.8 ± 10.2 and 89.5 ± 5.0 (P < .001). Only LSD in group > 1.6 were significant lower than those in group < 1.6 (>1.6: −1.5 ± 2.8, −1.6 ± 2.7, −1.5 ± 2.6; <1.6: 0.8 ± 3.4, 0.4 ± 3.6, 0.6 ± 2.8. P = .010,.038,.011) at the 3 postoperative follow-up time points. After arthroscopic plasty for complete type DLM which decreased the thickness and width of the residual meniscus, in turn causing the varus deformity significantly decreased or a valgus inclination developed. Moreover, the consequent changes of patellofemoral joint caused a certain amount of patellar tilt and patellar dislocation, might aggravated the symptomatic anterolateral knee pain or the lateral patellar compression syndrome. Wolters Kluwer Health 2018-02-09 /pmc/articles/PMC5944665/ /pubmed/29419685 http://dx.doi.org/10.1097/MD.0000000000009827 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle Research Article
Dong, Jiangtao
Xu, Hongtao
Jin, Guorong
Xin, Dongmei
Zhang, Jian
Kang, Kai
Gao, Shijun
Chen, Baicheng
Shen, Yong
The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title_full The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title_fullStr The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title_full_unstemmed The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title_short The adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: An observational study
title_sort adaptive change of patellofemoral joint after arthroscopic discoid lateral meniscus plasty: an observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944665/
https://www.ncbi.nlm.nih.gov/pubmed/29419685
http://dx.doi.org/10.1097/MD.0000000000009827
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