The results of intraosseous drilling and decompression in the treatment of chronic anterior knee pain
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Language: | fas |
Published: |
Tehran University of Medical Sciences
2012-01-01
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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 |
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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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institution | Directory Open Access Journal |
issn | 1683-1764 1735-7322 |
language | fas |
last_indexed | 2024-12-18T23:21:01Z |
publishDate | 2012-01-01 |
publisher | Tehran University of Medical Sciences |
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series | Tehran University Medical Journal |
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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