髌股关节炎诊治新进展

膝关节骨性关节炎是临床常见的关节退行性疾病,占骨性关节炎比例超过50%。髌股关节骨性关节炎在膝关节炎患者中占有较大的比例,也是骨科门诊常见疾病。据国内的统计资料显示,2010年人口普查资料统计我国总人口超过13.4亿,60岁以上老年人已超过1.67亿,据估算60岁以上老年人有症状的膝关节骨性关节炎人数已有上千万人。骨性关节炎高额的治疗费用将给国家和社会带来巨大的负担,因此,了解髌股关节炎对于提前预防和治疗髌股关节炎,防止其进展为膝关节骨性关节炎,提高人民健康水平具有重要的意义。许多学者认为髌股关节对位、对线不良导致了髌骨和股骨滑车软骨面病变,继而出现各种临床症状。现阶段全膝关节置换术对于老年髌股关节炎患者是比较适用的治疗方式,全膝关节置换术的应用随着髌股关节置换术的发展正在逐渐减少,对于年轻和早期患者,病变仅局限于髌股关节的,全膝关节置换手术一般不作为首选。本文就国内外关于髌股关节炎诊断和治疗的相关文献做一综述,希望对研究本疾病诊治的发展有一定帮助。 

Advance in diagnosis and treatment of patellofemoral osteoarthritis

Knee osteoarthritis is a common clinical degenerative diseases,accounting for more than half of osteoarthritis.Patellofemoral osteoarthritis occupies a large proportion of knee arthritis,and also a common disease at orthopedic clinic.According to Chinese statistics (2010 census statistics),China's population was more than 1.34 billion,peoples over 60 years old was more than 167 million,it is estimated that the number of symptomatic knee osteoarthritis among the population more than 60 years of age has tens of millions of people.The high cost of treatment for osteoarthritis will bring a huge burden to the society.Therefore,in order to prevent knee osteoarthritis and improve people's health,it is significant to understand the patellofemoral arthritis for the early prevention and treatment of patellofemoral arthritis.Many scholars believe that poor patellofemoral alignment leads to patellar and femoral trochlea cartilage surface lesions,and then the emergence of various clinical symptoms.Total knee arthroplasty in the elderly patients with patellofemoral arthritis is a more appropriate treatment;total knee replacement with the application of the development of patellofemoral arthroplasty is gradually reduced.For young and early patients,with lesions limited in the patellofemoral joint,total knee replacement surgery is generally not as preferred.This paper reviews the literatures on the diagnosis and treatment of patellofemoral arthritis at home and abroad,hoping to help us research the development of the diagnosis and treatment of this disease.