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Denervación artroscópica de la rótula
Resumen
Fundamento: el síndrome doloroso anterior de la rodilla es muy frecuente en la actualidad, para su tratamiento se combinan medidas conservadoras y quirúrgicas, dentro de las quirúrgicas la denervación de la rótula por vía artroscópica puede ser una de estas modalidades.
Objetivo: profundizar en esta técnica basado en el conocimiento de la anatomía y peculiaridades de esta forma de tratamiento quirúrgico.
Métodos: la búsqueda de la información se realizó en un periodo de tres meses (primero de septiembre de 2017 al 30 de noviembre de 2017) y se emplearon las siguientes palabras: denervation of the patella, patellar denervation y anterior knee pain, a partir de la información obtenida se realizó una revisión bibliográfica de un total de 150 artículos publicados en las bases de datos PubMed, Hinari, SciELO y Medline mediante el gestor de búsqueda y administrador de referencias EndNote, de ellos se utilizaron 51 citas seleccionadas para realizar la revisión, de ellas 34 de los últimos cinco años y se consultaron 13 libros.
Desarrollo: se abordaron los factores relacionados con la anatomía de la región anterior de la rodilla. Se hizo referencia a la exploración física de la articulación. Las modalidades de tratamiento se mencionaron al igual que las indicaciones quirúrgicas y ventajas de la denervación por la vía artroscópica. En relación a la técnica se muestran imágenes ilustrativas sobre el procedimiento. Para culminar se hace referencia a las principales complicaciones.
Conclusiones: la denervación artroscópica es una técnica factible y segura, para su realización se necesita del conocimiento de la anatomía.
DeCS: ARTROSCOPÍA; DESNERVACIÓN; RÓTULA/anatomía & histología; PROCEDIMIENTOS QUIRÚRGICOS OPERATIVOS; LITERATURA DE REVISIÓN COMO ASUNTO.
Palabras clave
Referencias
Petersen W, Ellermann A, Gösele-Koppenburg A, Best R, Rembitizki IV, Brüggemann GP, et al. Patellofemoral pain syndrome. Knee Surg Sports Traumatol Arthrosc. 2014 Oct;22(10):2264-74.
Sanchis-Alfonso V. Pathophysiology of anterior knee pain. En: Zaffagnini S, Dejour D, Arendt EA, editores. Patellofemoral pain, instability, and arthritis. New York: Springer; 2010. p. 1-15.
Crossley KM, Callaghan MJ, van Linschoten R. Patellofemoral pain. Br J Sports Med. 2016 Feb;50(4):247-50.
Yassa R, Khalfaoui MY, Davies AP. Are "Patellofemoral symptoms" truly related to the patellofemoral joint? Knee Surg Relat Res. 2016 Mar;28(1):68-74.
Smith BE, Hendrick P, Logan P. Patellofemoral pain: challenging current practice-a case report. Man Ther. 2016 Apr;22:216-9.
Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, et al. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43.
Fulkerson JP. A Practical guide to understanding and treating patellofemoral pain. Am J Orthop (Belle Mead NJ). 2017 Mar-Apr;46(2):101-3.
Glaviano NR, Kew M, Hart JM, Saliba S. Demographic and epidemiological trends in patellofemoral pain. Int J Sports Phys Ther. 2015 Jun;10(3):281-90.
Fulkerson JP. Clinical approach to the patellofemoral joint. En: Johnson DH, editor. Operative Arthroscopy. 4 th ed. Philadelphia: Wolters Kluwer; 2013. p. 661-9.
Hamilton TW, Pandit HG, Maurer DG, Ostlere SJ, Jenkins C, Mellon SJ, et al. Anterior knee pain and evidence of osteoarthritis of the patellofemoral joint should not be considered contraindications to mobile-bearing unicompartmental knee arthroplasty: a 15-year follow-up. Bone Joint J. 2017 May;99-B(5):632-9.
Hussain SM, Neilly DW, Baliga S, Patil S, Meek R. Knee osteoarthritis: a review of management options. Scott Med J. 2016 Feb;61(1):7-16.
Alomran A. Effect of patellar denervation on mid-term results after non-resurfaced total
knee arthroplasty. A randomised, controlled trial. Acta Orthop Belg. 2015 Dec;81(4):609-13.
Cerciello S, Robin J, Lustig S, Maccauro G, Heyse TJ, Neyret P. The role of patelloplasty in total knee arthroplasty. Arch Orthop Trauma Surg. 2016 Nov;136(11):1607-13.
Fan L, Ge Z, Zhang C, Li J, Yu Z, Dang X, et al. Circumferential electrocautery of the patella in primary total knee replacement without patellar replacement: a meta-analysis and systematic review. Sci Rep. 2015 Mar;5:9393.
Cho W. Knee Joint Arthroplasty. New York: Springer; 2014.
Findlay I, Wong F, Smith C, Back D, Davies A, Ajuied A. Non-resurfacing techniques in the management of the patella at total knee arthroplasty: a systematic review and meta-analysis. Knee. 2016 Mar;23(2):191-7.
Li T, Zhou L, Zhuang Q, Weng X, Bian Y. Patellar denervation in total knee arthroplasty without patellar resurfacing and postoperative anterior knee pain: a meta-analysis of randomized controlled trials. J Arthroplasty. 2014 Dec;29(12):2309-13.
Cheng T, Zhu C, Guo Y, Shi S, Chen D, Zhang X. Patellar denervation with electrocautery in total knee arthroplasty without patellar resurfacing: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2014 Nov;22(11):2648-54.
Clarke HD, Scott CW, Insall JN, Pedersen HB, Math KR, Vigorita VJ, et al. Anatomy. En: Scott WN, editor. Insall & Scott Surgery of the knee. 5 th ed. Philadelphia: Elsevier; 2012. p. 37-40.
Dye SF, Vaupel GL, Dye CC. Conscious neurosensory mapping of the internal structures of the human knee without intrarticular anesthesia. Am J Sport Medicine. 1998 Nov-Dic;26(6):773-7.
Dye SF, Campagna-Pinto D, Dye CC, Shifflett S, Einman T. Soft tissue anatomy anterior to the human patella. J Bone Joint Surg. 2003 Jun;85(6):1012-7.
Hu E, Preciado J, Dasa V, Mussell J. Development and validation of a new method for locating patella sensory nerves for the treatment of inferior and superior knee pain. J Exp Orthop. 2015 Dec;2(1):16.
Sadigursky D, Sampaio FM, Andrade ES, Almeida PR, Pihheiro ML, Goes Mendes MV, et al. Patellar denervation for anterior knee pain management in knee arthroplasty. Medical Express (Sâo Paulo). 2017 Feb;4(1):M170103.
Pulavarti RS, Raut VV, McLauchlan GJ. Patella denervation in primary total knee arthroplasty a randomized controlled trial with 2 years of follow-up. J Arthroplasty. 2014 May;29(5):977-81.
Valloton J, Echeverri S. Clinical examination of the patellofemoral patient. En: Zaffagnini S, editor. patellofemoral pain, instability, and arthritis. Berlin: Springer Verlag; 2010. p. 41-9.
Altay MA, Ertürk C, Altay N, Akmeşe R, Işıkan UE. Patellar denervation in total knee arthroplasty without patellar resurfacing: a prospective, randomized controlled study. Orthop Traumatol Surg Res. 2012 Jun;98(4):421-5.
Dejour D, Vasconcelos TW, Tavernier T. Patellofemoral osteoarthritis. En: Bonnin M, Chambat P, editor. Osteoarthritis of the knee: surgical treatment. London: Springer; 2008. p. 15-33.
Ro du H, Lee HY, Chang CB, Kang SB. Value of SPECT-CT imaging for middle-aged patients with chronic anterior knee pain. BMC Musculoskelet Disord. 2015 Jul;16:169.
Dellon AL, Mont MA. Partial denervation for the treatment of painful neuromas complicating total knee replacement. En: Scott WN, editor. Insall & Scott Surgery of the knee. 5 th ed. Philadelphia: Elsevier; 2012. p. e76-1.
Dellon AL. Knee pain of neural origin. En: Noyes FR, editor. Noyes Knee Disorders. Phialdelphia: Elsevier; 2010. p. 1096-1115.
Vega J, Golanó P, Pérez-Carro L. Electrosurgical arthroscopic patellar denervation. Arthroscopy. 2006 Sep;22(9):1028.
Spencer BA, Cherian JJ, Margetas G, Chughtai M, Harwin SF, Elmallah RK, et al. Patellar resurfacing versus circumferential denervation of the patella in total knee arthroplasty. Orthopedics. 2016 Sep;39(5):e1019-23.
Zhao G, Liu Y, Yuan B, Shen X, Qu F, Wang J, et al. Arthroscopic patelloplasty and circumpatellar denervation for the treatment of patellofemoral osteoarthritis. Chinese Med J. 2015 Jan;128(1):79-84.
Arirachakaran A, Sangkaew C, Kongtharvonskul J. Patellofemoral resurfacing and patellar denervation in primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015 Jun;23(6):1770-81.
Babaei Jandaghi A, Mardani-Kivi M, Mirbolook A, Emami-Meybodi MK, Mohammadzadeh S, Farahmand M. Comparison of indirect MR arthrography with conventional MRI in the diagnosis of knee pathologies in patients with knee pain. Trauma Mon. 2016 Mar;21(2):e20718.
Kobayashi S, Pappas E, Fransen M, Refshauge K, Simic M. The prevalence of patellofemoral osteoarthritis: a systematic review and meta-analysis. Osteoarthritis Cartilage. 2016 Oct;24(10):1697-707.
Namazi N, Jaberi FM, Pakbaz S, Vosoughi AR, Jaberi MM. Does patellar rim electrocautery have deleterious effects on patellar cartilage? Knee. 2014 Mar;21(2):524-8.
Mihalko WM. Arthroplasty of the knee. En: Azar FM, Beaty JH, Canale ST, editor. Campbell's Operative Orthopaedics. 13 th ed. Philadelphia: Elsevier; 2017. p. 451-4.
Peat G, Duncan RC, Wood LR, Thomas E, Muller S. Clinical features of symptomatic patellofemoral joint osteoarthritis. Arthritis Res Ther. 2012 Mar;14(2):R63.
Phillips BB, Mihalko MJ. Arthroscopy of the lower extermity. En: Azar FM, Beaty JH, Canale ST, editor. Campbell's Operative Orthopaedics. 13 th ed. Philadelphia: Elsevier; 2017. p. 2486-90.
Rosenthal PB. Knee osteoarthritis. En: Scott WN, editor. Insall & Scott Surgery of the knee. 5 th rd. Philadelphia: Elsevier; 2012. p. 718-22.
Dejour D, Saggin PRF. Disorders of the patellofemoral joint. En: Scott WN, editor. Insall & Scott Surgery of the knee. 5 th ed. Philadelphia: Elsevier; 2012. p. 592-623.
Mascarenhas R, Nho SJ, Farr J. Approach to condral damage in the patellofemoral joint. En: Sgaglione NA, Lubowitz JH, Provencher MT, editores. The knee: AANA Advance Arthroscopic Surgical techniques. Thorofare: Slack Incorporated; 2016. p. 257-68.
Fukerson JP, Buuk DA. Patellofemoral disorders: biomechanics, diagnosis, nonoperative treatment and arthroscopy. En: McGinty RB, editor. Operative Arthroscopy. 2 nd ed. Philadelphia: Lippincott Raven; 1996. p. 343-60.
Dandy DJ. Arthroscopic management of the knee. 2 nd ed. London: Churchill Livingstone; 1996.
Johnson LL. Diagnostic and surgical arthroscopy. 2 nd ed. London: Mosby; 1981.
Spang JT, Fulkerson JP. Patellofemoral disorders. En: McKeon BP, Bono JV, Richmond JC, editores. Knee Arthroscopy. New York: Springer; 2009. p. 113-28.
Vega J, Golanó P, Sanchis Alfonso V. Arhroscopic patellar denervation for anterior knee pain. En: Sanchis Alfonso V, editor. Atlas of the patellofemoral joint. London: Springer Verlag; 2013. p. 183-6.
Vega J, Golanó P, Sanchis Alfonso V. Arhroscopic patellar denervation for anterior knee pain. En: Sanchis Alfonso V, editor. Anterior knee pain and patellar instability. London: Springer Verlag; 2011. p. 373-8.
Pinkowsky GJ, Farr J. Considerations in evaluating treatment options for patellofemoral cartilage pathology. Sports Med Arthrosc. 2016 Jun;24(2):92-7.
Hagino T, Ochiai S, Watanabe Y, Senga S, Wako M, Ando T, et al. Complications after arthroscopic knee surgery. Arch Orthop Trauma Surg. 2014 Nov;134(11):1561-4.
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