全膝关节置换术后膝前痛的原因分析及对策Causes and treatment strategies of anterior knee pain after total knee arthroplasty
李建平;彭昊;陈森;方洪松;周建林;
摘要(Abstract):
膝前痛是全膝关节置换术后常见的并发症之一,无论是否进行髌骨置换,都不可避免。膝前痛的持续存在,往往预示着手术的失败。全膝关节置换术后发生膝前痛的原因众多,必须做到积极的预防和合理的治疗。对于疼痛或功能不严重的患者,可以考虑先进行保守治疗;一旦需要进行手术时,必须严格掌握适应证。本文就全膝关节置换术后膝前痛发生的原因及治疗对策作一综述。
关键词(KeyWords): 全膝关节置换;膝前痛;原因;治疗对策
基金项目(Foundation):
作者(Author): 李建平;彭昊;陈森;方洪松;周建林;
Email:
DOI:
参考文献(References):
- [1]Wylde V,Learmonth I,Potter A,et al.Patient-reported outcomes after fixed-versus mobile-bearing total knee replacement:a multicentre randomised controlled trial using the Kinemax total knee replacement[J].J Bone Joint Surg Br,2008,90:1172-1179.
- [2]Sensi L,Buzzi R,Giron F,et al.Patellofemoral function after total knee arthroplasty:gender-related differences[J].J Arthroplasty,2011,26:1475-1480.
- [3]Elson DW,Brenkel IJ.A conservative approach is feasible in unexplained pain after knee replacement:a selected cohort study[J].J Bone Joint Surg Br,2007,89:1042-1045.
- [4]Brander VA,Stulberg SD,Adams AD,et al.Predicting total knee replacement pain:a prospective,observational study[J].Clin Orthop,2003:27-36.
- [5]Forsythe ME,Dunbar MJ,Hennigar AW,et al.Prospective relation between catastrophizing and residual pain following knee arthroplasty:two-year follow-up[J].Pain Res Manag,2008,13:335-341.
- [6]Petersen W,Rembitzki IV,Bruggemann GP,et al.Anterior knee pain after total knee arthroplasty:a narrative review[J].Int Orthop,2013,2:319-328.
- [7]Sanchis-Alfonso V,Rosello-Sastre E.Immunohistochemical analysis for neural markers of the lateral retinaculum in patients with isolated symptomatic patellofemoral malalignment.A neuroanatomic basis for anterior knee pain in the active young patient[J].Am J Sports Med,2000,28:725-731.
- [8]Sanchis-Alfonso V.Patellofemoral pain[J].Orthopade,2008,37:835-836,838-840.
- [9]Breugem SJ,Sierevelt IN,Schafroth MU,et al.Less anterior knee pain with a mobile-bearing prosthesis compared with a fixed-bearing prosthesis[J].Clin Orthop,2008,466:1959-1965.
- [10]Burnett RS,Haydon CM,Rorabeck CH,et al.Patella resurfacing versus nonresurfacing in total knee arthroplasty:results of a randomized controlled clinical trial at a minimum of 10 years followup[J].Clin Orthop,2004:12-25.
- [11]Schnurr C,Jarrous M,Gudden I,et al.Pre-operative arthritis severity as a predictor for total knee arthroplasty patients'satisfaction[J].Int Orthop,2013,37:1257-1261.
- [12]Smith AJ,Lloyd DG,Wood DJ.Pre-surgery knee joint loading patterns during walking predict the presence and severity of anterior knee pain after total knee arthroplasty[J].J Orthop Res,2004,22:260-266.
- [13]Kalore NV,Gioe TJ,Singh JA.Diagnosis and management of infected total knee arthroplasty[J].Open Orthop J,2011,5:86-91.
- [14]Chen K,Li G,Fu D,et al.Patellar resurfacing versus nonresurfacing in total knee arthroplasty:a meta-analysis of randomised controlled trials[J].Int Orthop,2013,37:1075-1083.
- [15]Fu Y,Wang G,Fu Q.Patellar resurfacing in total knee arthroplasty for osteoarthritis:a meta-analysis[J].Knee Surg Sports Traumatol Arthrosc,2011,19:1460-1466.
- [16]He JY,Jiang LS,Dai LY.Is patellar resurfacing superior than nonresurfacing in total knee arthroplasty?A meta-analysis of randomized trials[J].Knee,2011,18:137-144.
- [17]Schindler OS.Basic kinematics and biomechanics of the patellofemoral joint part 2:the patella in total knee arthroplasty[J].Acta Orthop Belg,2012,78:11-29.
- [18]Ghosh KM,Merican AM,Iranpour F,et al.The effect of overstuffing the patellofemoral joint on the extensor retinaculum of the knee[J].Knee Surg Sports Traumatol Arthrosc,2009,17:1211-1216.
- [19]MacIntyre NJ,Hill NA,Fellows RA,et al.Patellofemoral joint kinematics in individuals with and without patellofemoral pain syndrome[J].J Bone Joint Surg Am,2006,88:2596-2605.
- [20]Tsuji T,Matsuyama Y,Goto M,et al.Knee-spine syndrome:correlation between sacral inclination and patellofemoral joint pain[J].J Orthop Sci,2002,7:519-523.
- [21]Motsis EK,Paschos N,Pakos EE,et al.Review article:Patellar instability after total knee arthroplasty[J].J Orthop Surg(Hong Kong),2009,17:351-357.
- [22]Yoshii I,Whiteside LA,Anouchi YS.The effect of patellar button placement and femoral component design on patellar tracking in total knee arthroplasty[J].Clin Orthop,1992:211-219.
- [23]Pavlou G,Meyer C,Leonidou A,et al.Patellar resurfacing in total knee arthroplasty:does design matter?A meta-analysis of 7075 cases[J].J Bone Joint Surg Am,2011,93:1301-1309.
- [24]van Jonbergen HP,Reuver JM,Mutsaerts EL,et al.Determinants of anterior knee pain following total knee replacement:a systematic review[J].Knee Surg Sports Traumatol Arthrosc,2014,3:478-499.
- [25]Erak S,Rajgopal V,Macdonald SJ,et al.Ten-year results of an inset biconvex patella prosthesis in primary knee arthroplasty[J].Clin Orthop,2009,467:1781-1792.
- [26]Laskin RS,Maruyama Y,Villaneuva M,et al.Deep-dish congruent tibial component use in total knee arthroplasty:a randomized prospective study[J].Clin Orthop,2000:36-44.
- [27]Sharma V,Tsailas PG,Maheshwari AV,et al.Does patellar eversion in total knee arthroplasty cause patella baja[J].Clin Orthop,2008,466:2763-2768.
- [28]Anagnostakos K,Lorbach O,Kohn D.Patella baja after unicompartmental knee arthroplasty[J].Knee Surg Sports Traumatol Arthrosc,2012,20:1456-1462.
- [29]Chonko DJ,Lombardi AV Jr.,Berend KR.Patella baja and total knee arthroplasty(TKA):etiology,diagnosis,and management[J].Surg Technol Int,2004,12:231-238.
- [30]Seil R,Pape D.Causes of failure and etiology of painful primary total knee arthroplasty[J].Knee Surg Sports Traumatol Arthrosc,2011,19:1418-1432.
- [31]Bhattee G,Moonot P,Govindaswamy R,et al.Does malrotation of components correlate with patient dissatisfaction following secondary patellar resurfacing[J].Knee,2014,1:247-251.
- [32]Nicoll D,Rowley DI.Internal rotational error of the tibial component is a major cause of pain after total knee replacement[J].J Bone Joint Surg Br,2010,92:1238-1244.
- [33]Pagnano MW,Hanssen AD,Lewallen DG,et al.Flexion instability after primary posterior cruciate retaining total knee arthroplasty[J].Clin Orthop,1998:39-46.
- [34]Gelfer Y,Pinkas L,Horne T,et al.Symptomatic transient patellar ischemia following total knee replacement as detected by scintigraphy.A prospective,randomized,double-blind study comparing the mid-vastus to the medial para-patellar approach[J].Knee,2003,10:341-345.
- [35]Dajani KA,Stuart MJ,Dahm DL,et al.Arthroscopic treatment of patellar clunk and synovial hyperplasia after total knee arthroplasty[J].J Arthroplasty,2010,25:97-103.
- [36]Nakagawa TH,Muniz TB,Baldon Rde M,et al.The effect of additional strengthening of hip abductor and lateral rotator muscles in patellofemoral pain syndrome:a randomized controlled pilot study[J].Clin Rehabil,2008,22:1051-1060.