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Chronic anterior knee pain with a stable patella is often associated with overload and increased pressure on the lateral facet due to pathologic lateral soft-tissue restraints. "Lateral pressure in flexion" is a term describing the pathologic process of increasing contact pressure over the lateral patellar facet as knee flexion progresses. Eighty patients were involved in this study, and it was divided into 2 random groups; Group A (40 patients)(odd number) were treated with open release after diagnostic arthroscopy and Group B (40 patients)(even number) were treated by arthroscopic release. All these patients are diagnosed as lateral patellar compression syndrome depending on clinical features, MRI and diagnostic arthroscopy. All patients were followed by Lysholm knee scaling score before surgery and two weeks , six weeks then 6 months after surgery.
This study was done by two orthopedic surgeons working in three hospitals from March 2016 to April 2018, Eighty patients were involved in this study, and it was divided into 2 matched groups; Group A (40 patients) were treated with open release after diagnostic arthroscopy and Group B (40 patients) were treated by arthroscopic release. All these patients are diagnosed as lateral patellar compression syndrome depending on clinical features, MRI ( figure 1)and diagnostic arthroscopy. All patients were followed by Lysol knee scaling score before surgery , two weeks , six weeks then 6 months after surgery. The two groups are matched related to age and gender. 52 patients are females and age ranged from 21-48 years.
Exclusion criteria are 1. Smoking 2.Patellar instability 3. D.M 4. Knee osteoarthritis 5. Previous knee surgery 6. Knee deformities involving Varus , valgus or recurvatum 7. Ligament laxity
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Open release of lateral retinaculae | Active Comparator | This group was treated by open release of lateral retinaculae after diagnosis of lateral compression syndrome by arthroscopy |
|
| Arthroscopic release of lateral retinaculae | Active Comparator | This group was treated by arthroscopic release |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| open release | Procedure | Open release of lateral retinaculae |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lysholm knee scaling score | Measurement of knee pain and daily activities | All patients were followed by Lysholm knee scaling score 6 months after surgery. |
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Inclusion Criteria:
Exclusion Criteria:
5. Previous knee surgery 6. Knee deformities involving Varus , valgus or recurvatum 7. Ligament laxity
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33829300 | Derived | Hamawandi SA, Amin HI, Al-Humairi AK. Open versus arthroscopic release for lateral patellar compression syndrome: a randomized-controlled trial. Arch Orthop Trauma Surg. 2022 Oct;142(10):1-7. doi: 10.1007/s00402-021-03878-0. Epub 2021 Apr 7. |
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| ID | Term |
|---|---|
| D057913 | Joint Capsule Release |
| ID | Term |
|---|---|
| D001182 | Arthroscopy |
| D004724 | Endoscopy |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| D019637 | Orthopedic Procedures |