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논문 기본 정보

자료유형
학술저널
저자정보
Kesary Yuval (Sackler Faculty of Medicine Tel Aviv University P. O. Box 39040 6997801 Tel Aviv Israel) Singh Vivek (Department of Orthopedic Surgery NYU Langone Health NYU Langone Orthopedic Hospital New York NY) Frenkel-Rutenberg Tal (Orthopedic Department Rabin Medical Center Beilinson Hospital Petah Tikva Israel) Greenberg Arie (Department of Orthopedic Surgery Kaplan Medical Center Rehovot Israel) Dekel Shmuel (Sackler Faculty of Medicine Tel Aviv University P. O. Box 39040 6997801 Tel Aviv Israel) Schwarzkopf Ran (Department of Orthopedic Surgery NYU Langone Health NYU Langone Orthopedic Hospital New York NY) Snir Nimrod (Tel Aviv Sourasky Medical Center)
저널정보
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제33권
발행연도
2021.12
수록면
39 - 39 (1page)
DOI
10.1186/s43019-021-00121-3

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Patellofemoral pain syndrome (PFPS) is a common pathology usually presenting with anterior or retropatellar pain. It is associated with a relative imbalance between the vastus medialis oblique (VMO) and the vastus lateralis (VL) muscles. This can lead to considerable morbidity and reduced quality of life (QOL). This study aims to assess the long-term functional outcome of PFPS treated with VL muscle botulinum toxin A (BoNT-A) injection.A retrospective review was performed on 26 consecutive patients (31 knees) with a mean age of 50.1?years (±?19.7?years) who were treated with BoNT-A injections to the VL muscle followed by physiotherapy between 2008 and 2015. Pre- and post-treatment pain levels (numerical rating scale, NRS), QOL (SF-6D), and functional scores (Kujala and Lysholm questionnaires) were measured. Demographics, physical therapy compliance, previous surgeries, perioperative complications, and patient satisfaction levels were collected. The mean follow-up time was 58.8?±?36.4?months. There were significant improvements in all the examined domains. The average pain score (NRS) decreased from 7.6 to 3.2 ( P <?0.01), and the Kujala, Lysholm, and SF-6D scores improved from 58.9 to 82.7 ( P <?0.001), 56.2 to 83.2 ( P <?0.001), and 0.6 to 0.8 ( P <?0.001), respectively. Similar delta improvement was achieved irrespective of gender, age, compliance to post-treatment physical therapy, or coexisting osteoarthritis. Patients who presented with a worse pre-treatment clinical status achieved greater improvement. Prior to BoNT-A intervention, 16 patients (18 knees) were scheduled for surgery, of whom 12 (75%, 13 knees) did not require further surgical intervention at the last follow-up. A single intervention of BoNT-A injections to the VL muscle combined with physiotherapy is beneficial for the treatment of patients with persistent PFPS.Retrospective cohort study.

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