Näytä suppeat kuvailutiedot

dc.contributor.authorKettunen, Jyrki A.
dc.contributor.authorHarilainen, Arsi
dc.contributor.authorSandelin, Jerker
dc.contributor.authorSchlenzka, Dietrich
dc.contributor.authorHietaniemi, Kalevi
dc.contributor.authorSeitsalo, Seppo
dc.contributor.authorMalmivaara, Antti
dc.contributor.authorKujala, Urho M.
dc.date.accessioned2011-05-13T07:41:58Z
dc.date.available2011-05-13T07:41:58Z
dc.date.issued2007
dc.identifier.citationKettunen, 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.urihttps://jyx.jyu.fi/handle/123456789/26959
dc.description.abstractBACKGROUND: 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.isoeng
dc.publisherBioMed Central
dc.relation.ispartofseriesBMC Medicine
dc.subject.otherartroskopiaen
dc.subject.otherliikuntahoitoen
dc.subject.otherpolven etuosan kiputilaen
dc.subject.otherarthoscopyen
dc.subject.otherexercise therapyen
dc.subject.otherpatellofemoral pain syndromeen
dc.titleKnee arthroscopy and exercise versus exercise only for chronic patellofemoral pain syndrome: a randomized controlled trial
dc.typeArticle
dc.identifier.urnURN:NBN:fi:jyu-2011051310798
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.identifier.doidoi:10.1186/1741-7015-5-38
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn1741-7015
dc.type.versionpublishedVersion
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.accesslevelopenAccessfi
dc.rights.urlhttp://creativecommons.org/licenses/by/2


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Näytä suppeat kuvailutiedot

© 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.
Ellei muuten mainita, aineiston lisenssi on © 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.