Binomial theory applied to the creation of a treatment algorithm for patellofemoral pathology

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-05-27 DOI:10.1016/j.knee.2025.05.012

Pablo Agustín Ramos Guarderas , Gonzalo Fernando Arteaga Guerrero , Medardo Javier Vargas Morante , Pablo David Ramos Murillo , Carlos Patricio Peñaherrera Carrillo , Francisco Endara Urresta , Daniel Alejandro Ramos Murillo , Alejandro Xavier Barros Castro

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引用次数: 0

Abstract

The annual prevalence of patellofemoral pathology in the general population is 22.7%, and in adolescents, it is 28.9%. Diagnosing this pathology is complex and requires a proper clinical examination and complementary imaging studies for adequate treatment. This study aims to clarify, simplify, and present a diagnostic and treatment algorithm based on casuistry using binomial theory.

Materials and methods

A retrospective study included 100 patients, 70% female, with an average age of 31, diagnosed with patellofemoral pathology, treated with different therapeutic options described in the literature, and followed up for 12 months, evaluated using the Lysholm scale.

Results

Among the surgically treated patients, 75% scored between 65 and 83 points on the Lysholm scale after one month; at six months, 72% scored between 84 and 100 points; after one year, 92% scored between 84 and 100 points; and the remaining 8% showed no improvement or required additional surgical procedures. The Q angle, TT-TG, and Fulkerson classification were correlated, obtaining P values of 0.65, 0.72, and 0.55 respectively, suggesting a positive correlation between these variables. Finally, the three variables were correlated for surgical decision-making, obtaining a P value of 0.85, with a positive and statistically significant correlation.

Conclusion

The algorithm proposed in this study shows good results at the one-year follow-up and should be considered as a management option for patients with patellofemoral pathology.

Level of Evidence: IV. Observational retrospective case series study.

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二项式理论应用于髌股病理治疗算法的创建

髌骨病变在普通人群中的年患病率为22.7%，在青少年中为28.9%。诊断这种病理是复杂的，需要适当的临床检查和补充影像学研究，以获得适当的治疗。本研究旨在阐明、简化并提出一种基于二项理论的诡辩诊断与治疗算法。材料与方法回顾性研究纳入100例患者，其中70%为女性，平均年龄31岁，诊断为髌股病变，采用文献中描述的不同治疗方案治疗，随访12个月，采用Lysholm量表进行评估。结果术后1个月Lysholm评分在65 ~ 83分之间的患者占75%；六个月后，72%的人得分在84到100分之间；一年后，92%的学生得分在84到100分之间；剩下的8%没有好转或需要额外的手术治疗。Q角、TT-TG、Fulkerson分类相关，P值分别为0.65、0.72、0.55，说明三者呈正相关。最后，三个变量与手术决策相关，P值为0.85，相关性为正且有统计学意义。结论本研究提出的算法在一年的随访中显示出良好的效果，可作为髌股病变患者的一种治疗选择。证据水平：IV.观察性回顾性病例系列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.