Acta Ortopédica Mexicana

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>Journals >Acta Ortopédica Mexicana >Year 2015, Issue 5

Barragán-Hervella R, Montiel-Jarquín A, Alvarado-Ortega I, Corona-Juárez E, Lima-Ramírez P, Vázquez-Rodríguez C, Romero-Figueroa M, López-Cázares G, Ramos-Hernández V, Medina-Escobedo C, Villatoro-Martínez A, Salvatori-Rubí J, Moyaho-Bernal A
Bandi tibial tubercule osteotomy vs. artrhroscopy lavage in patelo femoral arthritis. 1 year follow-up
Acta Ortop Mex 2015; 29 (5)

Language: Español
References: 18
Page: 261-265
PDF: 4. Kb.

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Introduction: Osteoarthritis is a degenerative joint disease that modifies the mechanical and biological properties of articular cartilage and subchondral bone, treatment is aimed at relieving pain, maintain joint and reduce disease progression function. The aim of this paper is to compare the surgical outcomes of the arthroscopic articular cleaning and Bandi procedure by using the WOMAC scale. Methods: Cross-sectional study, functional outcome of treatment of patellofemoral ostheoarthritis by arthroscopic articular cleaning and Bandi procedure are compared. Variables were gender, age, affected side, surgical technique and preoperative and 12 months follow up WOMAC evaluation. We used descriptive statistics and t-test for mean difference in WOMAC between both groups of patients. Results: n = 37 patients, the mean age was 53.48 (28-82), ± 12.55 years; 11 (29.7%) males and 26 (70.3%) women, the affected side: 19 (51.35%) right and 18 (48.65%) left. Surgical technique: 45.9% arthroscopic articular cleaning and 54.1% Bandi procedure. Patients operated by both technics: Bandi and arthroscopic articular cleaning had improvement in pain, stiffness and physical function (p = 0.00); comparison of global WOMAC score for both techniques a year after showed no statistically significant differences (p = 0.78). Conclusion: Both techniques (Bandi and arthroscopic articular cleaning) offer good results at 365 days of surgery, however patients managed by arthroscopic articular cleaning have less pain compared with Bandi procedure.

Key words: Osteoarthritis, knee, patella, arthroscopy.


  1. Franzone JM, Vitale MA, Shubin Stein BE, Ahmad CS: Is there an association between chronicity of patellar instability and patelofemoral cartilage lesions? An arthroscopic assessment of chondral injury. J Knee Surg. 2012; 25(5): 411-6.

  2. Jordan KM, Arden NK, Doherty M, Bannwarth B, Bijlsma JW, Dieppe P, et al. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies IncludingTherapeutic Trials (ESCISIT). Ann Rheumat Dis. 2003; 62: 1145-55.

  3. Manek NJ, Lane NE: Osteoarthritis: Current concepts in diagnosis and management. Am Fam Physician. 2000; 61(6): 1795-804.

  4. Hochberg MC, Altman R, Brandt K, Clark BM, Dieppe PA, Griffin MR, et al: Guidelines for the medical managment of ostearthritis. Arthritis Rheum. 1995; 38: 1541-6.

  5. Fulkerson JP: Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med. 2002; 30(3): 447-56.

  6. Halabchi F, Mazaheri R, Seif-Barghi T: Patellofemoral pain syndrome and modifiable intrinsic risk factors; how to assess and address? Asian J Sports Med. 2013; 4(2): 85-100.

  7. Farrokhi S, Voycheck CA, Tashman S, Fitzgerald GK: A Biomechanical Perspective on Physical Therapy Management of Knee Osteoarthritis. J Orthop Sports Phys Ther. 2013; 43(9): 600-19.

  8. Elson DW, Jones S, Caplan N, St Clair Gibson A, Stewart S, Kader DF: Clinically insignificant association between anterior knee pain and patellofemoral lesions which are found incidentally. Knee. 2013; 20(6): 471-5.

  9. Kar MN, Bhakta A, Mondal GC, Bandyopadhyay M, Kar C, Nandi SN: Change of patellor height with age and sex. J Indian Med Assoc. 2012; 110(12): 922-5.

  10. Nunes GS, Stapait EL, Kirsten MH, de Noronha M, Santos GM: Clinical test for diagnosis of patelofemoral pain syndrome: Systematic review with meta-analysis. Phys Ther Sport. 2013; 14(1): 54-9.

  11. Konstantinidis GA, Aletras VH, Kanakari KA, Natsis K, Bellamy N, Niakas D: Comparative validation of the WOMAC osteoarthritis and Lequesne algofunctional indices in Greek patients with hip or knee osteoarthritis. Qual Life Res. 2014; 23(2): 539-48.

  12. Roth E, Mirochna M, Harsha D: Adolescent with knee pain. Am Fam Physician. 2012; 86(6): 569-70.

  13. Brunel L, Etchepareborde S, Barthélémy N, Farnir F, Balligand M: Mechanical testing of a new osteotomy design for tibial tuberosity advancement using the Modified Maquet Technique. Vet Comp Orthop Traumatol. 2013; 26(1): 47-53.

  14. Maquet P: Advancement of the tibial tuberosity. Clin Orthop Relat Res. 1976; 115: 225-30.

  15. Ibarra-Ponce de León JC,Cabrales-Pontigo M, Crisóstomo-Martínez JF, Almazán-Díaz A, Cruz-López F, Encalada-Díaz MI, et al: Resultados obtenidos con la limpieza articular artroscópica de rodilla en pacientes con osteoartritis. Act Ortop Mex. 2009; 23(2): 85-9.

  16. Valenzuela L, Nematala F, Orrego M, Matas J, Sudy H, et al: Treatment of patellofemoral chondropathy with the Bandi tibial tubercle osteotomy More than 10 years follow-up. Knee. 2011; 18(2): 94-7.

  17. Outerbridge RE: The etiology of chondromalacia patellae. 1961. Clin Orthop Relat Res. 2001; (389): 5-8.

  18. Leslie IJ, Bentley G: Arthroscopy in the diagnosis of chondromalacia patellae. Ann Rheum Dis. 1978; 37(6): 540-7.

>Journals >Acta Ortopédica Mexicana >Year 2015, Issue 5

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