Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial
dc.contributor.author | Kettunen, Jyrki A. | |
dc.contributor.author | Harilainen, Arsi | |
dc.contributor.author | Sandelin, Jerker | |
dc.contributor.author | Schlenzka, Dietrich | |
dc.contributor.author | Hietaniemi, Kalevi | |
dc.contributor.author | Seitsalo, Seppo | |
dc.contributor.author | Malmivaara, Antti | |
dc.contributor.author | Kujala, Urho M. | |
dc.date.accessioned | 2011-05-13T07:41:58Z | |
dc.date.available | 2011-05-13T07:41:58Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | Kettunen, J., Harilainen, A., Sandelin, J., Schlenzka, D., Hietaniemi, K., Seitsalo, S., Malmivaara, A. & Kujala, U. (2007). Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial. BMC Medicine, 5: 38. Retrieved from http://www.biomedcentral.com/1741-7015/5/38 | |
dc.identifier.uri | https://jyx.jyu.fi/handle/123456789/26959 | |
dc.description.abstract | BACKGROUND: Arthroscopy is often used to treat patients with chronic patellofemoral pain syndrome (PFPS). As there is a lack of evidence, we conducted a randomized controlled trial to study the efficacy of arthroscopy in patients with chronic PFPS. METHODS: A total of 56 patients with chronic PFPS were randomized into two treatment groups: an arthroscopy group (N = 28), treated with knee arthroscopy and an 8-week home exercise program, and a control group (N = 28), treated with the 8-week home exercise program only. The arthroscopy included finding-specific surgical procedures according to current recommendations. The primary outcome was the Kujala score on patellofemoral pain and function at 9 months following randomization. Secondary outcomes were visual analog scales (VASs) to assess activity-related symptoms. We also estimated the direct healthcare costs. RESULTS: Both groups showed marked improvement during the follow-up. The mean improvement in the Kujala score was 12.9 (95% confidence interval (CI) 8.2–17.6) in the arthroscopy group and 11.4 (95% CI 6.9–15.8) in the control group. However, there was no difference between the groups in mean improvement in the Kujala score (group difference 1.1 (95% CI -7.4 - 5.2)) or in any of the VAS scores. Total direct healthcare costs in the arthroscopy group were estimated to exceed on average those of the control group by €901 per patient (p < 0.001). CONCLUSION: In this controlled trial involving patients with chronic PFPS, the outcome when arthroscopy was used in addition to a home exercise program was no better than when the home exercise program was used alone. | en |
dc.language.iso | eng | |
dc.publisher | BioMed Central | |
dc.relation.ispartofseries | BMC Medicine | |
dc.subject.other | artroskopia | en |
dc.subject.other | liikuntahoito | en |
dc.subject.other | polven etuosan kiputila | en |
dc.subject.other | arthoscopy | en |
dc.subject.other | exercise therapy | en |
dc.subject.other | patellofemoral pain syndrome | en |
dc.title | Knee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial | |
dc.type | journal article | |
dc.identifier.urn | URN:NBN:fi:jyu-2011051310798 | |
dc.contributor.laitos | Terveystieteiden laitos | fi |
dc.contributor.laitos | Department of Health Sciences | en |
dc.type.uri | http://purl.org/eprint/type/JournalArticle | |
dc.type.coar | http://purl.org/coar/resource_type/c_6501 | |
dc.description.reviewstatus | peerReviewed | |
dc.relation.issn | 1741-7015 | |
dc.type.version | publishedVersion | |
dc.rights.copyright | © 2007 Kettunen et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | |
dc.rights.accesslevel | openAccess | fi |
dc.type.publication | article | |
dc.rights.url | http://creativecommons.org/licenses/by/2 | |
dc.relation.doi | doi:10.1186/1741-7015-5-38 |
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Except where otherwise noted, this item's license is described as © 2007 Kettunen et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.