The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain

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Main Authors: Kaseb MH, Mirkarimi Sh, Saberi S
Format: Article
Language:fas
Published: Tehran University of Medical Sciences 2012-01-01
Series:Tehran University Medical Journal
Subjects:
Online Access:http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-186&slc_lang=en&sid=1
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author Kaseb MH
Mirkarimi Sh
Saberi S
author_facet Kaseb MH
Mirkarimi Sh
Saberi S
author_sort Kaseb MH
collection DOAJ
description Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0cm 5.4pt 0cm 5.4pt mso-para-margin:0cm mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:Arial mso-bidi-theme-font:minor-bidi} Background: Anterior knee pain is one of the most common complaints of patients in orthopedic clinics. The first step in the treatment of this problem is conservative treatment which includes administration of anti-inflammatory drugs, exercise and changes in life style. Many patients respond well to these measures in about six months, but a small number of patients may not respond to the conservative treatment therefore, surgical procedures such as Maquet osteotomy or lateral retinacular release may be needed in these cases. The aim of this study was to determine the efficacy of intraosseous drilling and decompression of patella in the treatment of chronic anterior knee pain.Methods : This study was performed as a case series on ten patients with chronic anterior knee pain attending the Orthopedic Clinic of Imam Khomeini Hospital, in Tehran, Iran in 2009-2010. Eight of the patients were male and the rest were female. The patients met the inclusion criteria and were followed up for at least 12 months after the surgery. Results : The mean age of the patients was 27.8±4.66 yr and their mean BMI was 22.5±1.71 kg/m2. The mean pain severity before the interventions was 8.2±0.78 based on VAS but it decreased to 2.5±1.26 post-surgically. An average reduction of 5.7 scores were noticed in pain severity depicting a significant reduction of pain (P<0.0001).Conclusion: It may be concluded that intraosseous drilling and decompression of patella is a safe and effective method in the treatment of chronic anterior knee pain not responding to conservative treatment.
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spelling doaj.art-49f7114a3ec243189ca31a5e6b129afb2022-12-21T20:47:57ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222012-01-016910639644The results of intraosseous drilling and decompression in the treatment of chronic anterior knee painKaseb MH0Mirkarimi Sh1Saberi S2 Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0cm 5.4pt 0cm 5.4pt mso-para-margin:0cm mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:Arial mso-bidi-theme-font:minor-bidi} Background: Anterior knee pain is one of the most common complaints of patients in orthopedic clinics. The first step in the treatment of this problem is conservative treatment which includes administration of anti-inflammatory drugs, exercise and changes in life style. Many patients respond well to these measures in about six months, but a small number of patients may not respond to the conservative treatment therefore, surgical procedures such as Maquet osteotomy or lateral retinacular release may be needed in these cases. The aim of this study was to determine the efficacy of intraosseous drilling and decompression of patella in the treatment of chronic anterior knee pain.Methods : This study was performed as a case series on ten patients with chronic anterior knee pain attending the Orthopedic Clinic of Imam Khomeini Hospital, in Tehran, Iran in 2009-2010. Eight of the patients were male and the rest were female. The patients met the inclusion criteria and were followed up for at least 12 months after the surgery. Results : The mean age of the patients was 27.8±4.66 yr and their mean BMI was 22.5±1.71 kg/m2. The mean pain severity before the interventions was 8.2±0.78 based on VAS but it decreased to 2.5±1.26 post-surgically. An average reduction of 5.7 scores were noticed in pain severity depicting a significant reduction of pain (P<0.0001).Conclusion: It may be concluded that intraosseous drilling and decompression of patella is a safe and effective method in the treatment of chronic anterior knee pain not responding to conservative treatment.http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-186&slc_lang=en&sid=1Anterior knee painchondromalaciaintraosseous drillingpatella
spellingShingle Kaseb MH
Mirkarimi Sh
Saberi S
The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
Tehran University Medical Journal
Anterior knee pain
chondromalacia
intraosseous drilling
patella
title The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
title_full The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
title_fullStr The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
title_full_unstemmed The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
title_short The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
title_sort results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
topic Anterior knee pain
chondromalacia
intraosseous drilling
patella
url http://tumj.tums.ac.ir/browse.php?a_code=A-10-25-186&slc_lang=en&sid=1
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