Clinical Study On Treatment Of Patellofemoral Osteoarthritis With Lateral Patello Support Band Tenolysis And Knee Debridement Under Arthroscopy Based On The Theory Of Paying Equal Attention To Sinew And Bone

Objective:To observe and evaluate the effect of arthroscopic lateral retinaculum release and knee joint debridement on patellofemoral arthritis under the guidance of the theory of paying equal attention to sinew and bone by comparing two treatment methodsMethods:46 cases of patellofemoral arthritis patients with complete follow-up data from October 2017 to October 2019 in orthopaedics department of Affiliated Hospital of Shandong University of traditional Chinese medicine were analyzed retrospectively According to different treatment methods,they were divided into treatment group,which was guided by the theory of paying equal attention to sinew and bone and routine treatment combined with traditional Chinese medicine fumigation and manipulation;and control group,which was knee joint debridement under arthroscope+release of lateral patellar retinaculum+Routine treatment of postoperative rehabilitation.The Lysholm score,Kujala score,VAS score(visual analogue score)and patella displacement of the two groups were followed up and observed before and 3 months after treatment.The data of the two groups were statistically analyzed by spss21.0 software to evaluate and compare the short-term clinical efficacy of the two groups.Results:The clinical effective rate of the treatment group was 91.3%,which was better than that of the control group(78.3%).The difference between the two groups was statistically significant(P<0.05).Lysholm score,Kujala score and VAS score of the two groups were significantly improved compared with those before treatment(P<0.05).The improvement degree of the treatment group was better than that of the control group,and the improvement degree of the treatment group was significantly different from that of the control group(P<0.05).Conclusion:Under the guidance of the theory of paying equal attention to sinew and bone,the release of lateral patellar retinaculum and knee joint debridement can better relieve the symptoms of patients with patellofemoral arthritis.The short-term clinical effect is more obvious,and the long-term effect comparison needs further follow-up observation and study.