CLINICAL STUDIES ON EFFECT OF ARTHROSCOPIC INTERCONDYLAR FOSSA ANGIOPLASTY ON ABILITY OF NEUROMUSCULAR CONTROL IN ELDERLY PATIENTS WITH KNEE OSTEOARTHRITIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 HUANGJingmin ^1,2 , WANGHaijiao ^1,2 , WUJiang ¹ , LIDongchao ^1,2 , LIYuhong ^1,2

1. Department of Sports Injuries and Arthroscopic Branch, Tianjin Hospital, Tianjin, 300211, P. R. China;
2. Tianjin University of Traditional Chinese Medicine. Tianjin Hospital, Tianjin, 300211, P. R. China;

Corresponding author：

HUANGJingmin, Email: huangjingmin@126.com

Keywords：

Osteoarthritis; Intercondylar fossa angioplasty; Neuromuscular control; Proprioception; Muscle mobilization; Elderly patient

DOI：

10.7507/1002-1892.20150204

Video：

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Objective To study the effect of arthroscopic intercondylar fossa angioplasty on the ability of neuromuscular control of the knee joint in elderly patients with knee osteoarthritis (KOA). Methods Between June 2012 and March 2013, 20 elderly patients with KOA and in accordance with inclusion and exclusion criteria underwent arthroscopic intercondylar fossa angioplasty (operation group), and 20 healthy elderly people served as control group. There was no significant difference in age, height, weight, and body mass index between 2 groups (P>0.05). The proprioception capability (using passive regeneration test at measurement angles of 15, 30, and 60°) and quadriceps mobilization [including maximum voluntary contraction (MVC), central activation ratio (CAR), and activation deficit (AD)] were measured to avaluate the neuromuscular control of the knee;the Lysholm score was used to evaluate knee function. The above indexes were measured to assess the knee neuromuscular control and recovery of joint function in patients of operation group at 3, 6, and 9 months after operation. Results Compared with the control group, MVC, CAR, and Lysholm scores were significantly decreased, and the AD and passive knee angle difference were significantly increased in operation group (P<0.05) before operation. With the time after operation, the Lysholm score, CAR, and MVC increased gradually, and the AD and the passive knee angle difference decreased gradually. There was no significant difference in the indexes between 2 groups at 9 months after operation (P>0.05). Conclusion Arthroscopic intercondylar fossa angioplasty can relieve ACL pressure, abrasion, and impact, which will recover the ability of neuromuscular control, increase proprioception and quadriceps mobilization capacity, and improve the joint function.

Citation： HUANGJingmin, WANGHaijiao, WUJiang, LIDongchao, LIYuhong. CLINICAL STUDIES ON EFFECT OF ARTHROSCOPIC INTERCONDYLAR FOSSA ANGIOPLASTY ON ABILITY OF NEUROMUSCULAR CONTROL IN ELDERLY PATIENTS WITH KNEE OSTEOARTHRITIS. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(8): 945-950. doi: 10.7507/1002-1892.20150204 Copy

1.	Spahn G,Klinger HM,Hofmann GO.The effect of arthroscopic debridement and conservative treatment in knee osteoarthritis:Results of a 5-year follow-up and literature review.Sportverletz Sportschaden,2013,27(4):226-231.
2.	Leigh JP,Seavey W,Leistikow B.Estimating the costs of job related arthritis.J Rheumatol,2001,28(7):1647-1654.
3.	Brooks PM.Impact of osteoarthritis on individuals and society:how much disability? Social consequences and health economic implications.Curr Opin Rheumatol,2009,14(5):573-577.
4.	于俊海,周石,黄力平.电刺激与随意收缩叠加法在评定肌肉力量动员能力中的应用.中国运动医学杂志,2007,26(5):634-638.
5.	Cooper MA,Herda TJ,Walter-Herda AA,et al.The reliability of the interpolated twitch technique during submaximal and maximal isometric muscle actions.J Strength Cond Res,2013,27(10):2909-2913.
6.	Oskouei MA,Van Mazijk BC,Schuiling MH,et al.Variability in the interpolated twitch torque for maximal and submaximal voluntary contractions.J Appl Physiol (1985),2003,95(4):1648-1655.
7.	Maffiuletti NA,Zory R,Miotti D,et al.Neuromuscular adaptations to electrostimulation resistance training.Am J Phys Med Rehabil,2006,85(2):167-175.
8.	Barrett DS,Cobb AG,Bently G.Joint proprioception in normal,osteoarthritic and replaced knees.J Bone Joint Surg (Br),1991,73(1):53-56.
9.	Birmingham TB,Kramer JF,Kirkley A,et al.Knee bracing after ACL reconstruction:effects on postural control and proprioception.Med Sci Sports Exerc,2001,33(8):1253-1258.
10.	Katayama M,Higuchi H,Kimura M,et al.Proprioception and performance after anterior cruciate ligament rupture.Int Orthop,2004,28(5):278-281.
11.	Ozenci AM,Inanmaz E,Ozcanli H,et al.Proprioceptive comparison of allograft and autograft anterior cruciate ligament reconstructions.Knee Surg Sports Traumatol Arthrosc,2007,15(12):1432-1437.
12.	Iwasa J,Ochi M,Adachi N,et al.Proprioceptive improvementin knees with anterior cruciate ligament reconstruction.Clin Orthop Relat Res,2000,(381):168-176.
13.	Littmann AE,Iguchi M,Madhavan S,et al.Dynamic-position-sense impairment's independence of perceived knee function in women with ACL reconstruction.J Sport Rehabil,2012,21(1):44-53.
14.	Angoules AG,Mavrogenis AF,Dimitriou R,et al.Knee proprioception following ACL reconstruction;a prospectivetrial comparing hamstrings with bone-patellar tendon-bone autograft.Knee,2011,18(2):76-82.
15.	Lephart SM,Pincivero DM,Giraldo JL,et al.The role of proprioception in the management and rehabilitation of athletic injuries.Am J Sports Med,1997,25(1):130-137.
16.	Schultz RA,Miller DC,Kerr CS,et al.Mechanoreceptors in human cruciate ligament.A histological study.J Bone Joint Surg (Am),1984,66(7):1072-1076.
17.	Schutte MJ,Dabezies EJ,Zimny ML,et al.Neural anatomy of the human anterior cruciate ligament.J Bone Joint Surg (Am),1987,69(2):243-247.
18.	Beard DJ,Kyberd PJ,Fergusson CM,et al.Proprioceotion after rupture of the anterior cruciate ligament.J Bone Joint Surg (Br),1993,75(2):311-315.
19.	Denti M,Monteleone M,Berardi A,et al.Anterior cruciate ligament mechano receptors.Histologic studies on lesions and reconstruction.Clin Orthop Relat Res,1994,(308):29-32.
20.	Krogsgaard MR,Dyhre-Poulsen P,Fischer-Rasmussen T.Cruciate ligament reflexes.J Electromyogr Kinesiol,2002,12(3):177-182.
21.	Hogerorst T,Brand RA.Mechanoreceptors in joint function.J Bone Joint Surg (Am),1998,80(9):1365-1378.
22.	Salo PT,Theriault E.Number,distribution and neuropeptide content of rat knee joint afferent.J Anat,1997,190(Pt 4):515-522.
23.	Shepstone L,Rogers J,Kirwan JR,et al.Shape of the intercondylar notch of the human femur:a comparison of osteoarthritic and non-osteoarthritic bones from a skeletal sample.Ann Rheum Dis,2001,60(10):968-973.
24.	Maffulli N,Binfield PM,King JB.Articular cartilage lesions in the symptomatic anterior cruciate ligament-deficient knee.Arthroscopy,2003,19(7):685-690.
25.	曹龙军,章礼勤,周石,等.膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的研究.中国康复医学杂志,2012,27(1):30-34.
26.	van Meer BL,Oei EH,Bierma-Zeinstra SM,et al.Are magnetic resonance imaging recovery and laxity improvement possible after anterior cruciate ligament rupture in nonoperative treatment? Arthroscopy,2014,30(9):1092-2099.
27.	van Eck CF,Kopf S,van Dijk CN,et al.Comparison of 3-dimensional notch volume between subjects with and subjects without anterior cruciate ligament rupture.Arthroscopy,2011,27(9):1235-1241.
28.	Al-Saeed O,Brown M,Athyal R,et al.Association of femoral intercondylar notch morphology,width index and the risk of anterior cruciate ligament injury.Knee Surg Sports Traumatol Arthrosc,2013,21(3):678-682.
29.	Kim TH,Lee DH,Lee SH,et al.Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament.Arthroscopy,2008,24(6):642-649.
30.	Lintz F,Pujol N,Boisrenoult O,et al.Anterior cruciate ligament mucoid degeneration:a review of the literature and management guidelines.Knee Surg Sports Traumatol Arthrosc,2011,19(8):1326-1333.

1. Spahn G,Klinger HM,Hofmann GO.The effect of arthroscopic debridement and conservative treatment in knee osteoarthritis:Results of a 5-year follow-up and literature review.Sportverletz Sportschaden,2013,27(4):226-231.
2. Leigh JP,Seavey W,Leistikow B.Estimating the costs of job related arthritis.J Rheumatol,2001,28(7):1647-1654.
3. Brooks PM.Impact of osteoarthritis on individuals and society:how much disability? Social consequences and health economic implications.Curr Opin Rheumatol,2009,14(5):573-577.
4. 于俊海,周石,黄力平.电刺激与随意收缩叠加法在评定肌肉力量动员能力中的应用.中国运动医学杂志,2007,26(5):634-638.
5. Cooper MA,Herda TJ,Walter-Herda AA,et al.The reliability of the interpolated twitch technique during submaximal and maximal isometric muscle actions.J Strength Cond Res,2013,27(10):2909-2913.
6. Oskouei MA,Van Mazijk BC,Schuiling MH,et al.Variability in the interpolated twitch torque for maximal and submaximal voluntary contractions.J Appl Physiol (1985),2003,95(4):1648-1655.
7. Maffiuletti NA,Zory R,Miotti D,et al.Neuromuscular adaptations to electrostimulation resistance training.Am J Phys Med Rehabil,2006,85(2):167-175.
8. Barrett DS,Cobb AG,Bently G.Joint proprioception in normal,osteoarthritic and replaced knees.J Bone Joint Surg (Br),1991,73(1):53-56.
9. Birmingham TB,Kramer JF,Kirkley A,et al.Knee bracing after ACL reconstruction:effects on postural control and proprioception.Med Sci Sports Exerc,2001,33(8):1253-1258.
10. Katayama M,Higuchi H,Kimura M,et al.Proprioception and performance after anterior cruciate ligament rupture.Int Orthop,2004,28(5):278-281.
11. Ozenci AM,Inanmaz E,Ozcanli H,et al.Proprioceptive comparison of allograft and autograft anterior cruciate ligament reconstructions.Knee Surg Sports Traumatol Arthrosc,2007,15(12):1432-1437.
12. Iwasa J,Ochi M,Adachi N,et al.Proprioceptive improvementin knees with anterior cruciate ligament reconstruction.Clin Orthop Relat Res,2000,(381):168-176.
13. Littmann AE,Iguchi M,Madhavan S,et al.Dynamic-position-sense impairment's independence of perceived knee function in women with ACL reconstruction.J Sport Rehabil,2012,21(1):44-53.
14. Angoules AG,Mavrogenis AF,Dimitriou R,et al.Knee proprioception following ACL reconstruction;a prospectivetrial comparing hamstrings with bone-patellar tendon-bone autograft.Knee,2011,18(2):76-82.
15. Lephart SM,Pincivero DM,Giraldo JL,et al.The role of proprioception in the management and rehabilitation of athletic injuries.Am J Sports Med,1997,25(1):130-137.
16. Schultz RA,Miller DC,Kerr CS,et al.Mechanoreceptors in human cruciate ligament.A histological study.J Bone Joint Surg (Am),1984,66(7):1072-1076.
17. Schutte MJ,Dabezies EJ,Zimny ML,et al.Neural anatomy of the human anterior cruciate ligament.J Bone Joint Surg (Am),1987,69(2):243-247.
18. Beard DJ,Kyberd PJ,Fergusson CM,et al.Proprioceotion after rupture of the anterior cruciate ligament.J Bone Joint Surg (Br),1993,75(2):311-315.
19. Denti M,Monteleone M,Berardi A,et al.Anterior cruciate ligament mechano receptors.Histologic studies on lesions and reconstruction.Clin Orthop Relat Res,1994,(308):29-32.
20. Krogsgaard MR,Dyhre-Poulsen P,Fischer-Rasmussen T.Cruciate ligament reflexes.J Electromyogr Kinesiol,2002,12(3):177-182.
21. Hogerorst T,Brand RA.Mechanoreceptors in joint function.J Bone Joint Surg (Am),1998,80(9):1365-1378.
22. Salo PT,Theriault E.Number,distribution and neuropeptide content of rat knee joint afferent.J Anat,1997,190(Pt 4):515-522.
23. Shepstone L,Rogers J,Kirwan JR,et al.Shape of the intercondylar notch of the human femur:a comparison of osteoarthritic and non-osteoarthritic bones from a skeletal sample.Ann Rheum Dis,2001,60(10):968-973.
24. Maffulli N,Binfield PM,King JB.Articular cartilage lesions in the symptomatic anterior cruciate ligament-deficient knee.Arthroscopy,2003,19(7):685-690.
25. 曹龙军,章礼勤,周石,等.膝关节骨性关节炎患者股四头肌动员能力和肌力储备改变的研究.中国康复医学杂志,2012,27(1):30-34.
26. van Meer BL,Oei EH,Bierma-Zeinstra SM,et al.Are magnetic resonance imaging recovery and laxity improvement possible after anterior cruciate ligament rupture in nonoperative treatment? Arthroscopy,2014,30(9):1092-2099.
27. van Eck CF,Kopf S,van Dijk CN,et al.Comparison of 3-dimensional notch volume between subjects with and subjects without anterior cruciate ligament rupture.Arthroscopy,2011,27(9):1235-1241.
28. Al-Saeed O,Brown M,Athyal R,et al.Association of femoral intercondylar notch morphology,width index and the risk of anterior cruciate ligament injury.Knee Surg Sports Traumatol Arthrosc,2013,21(3):678-682.
29. Kim TH,Lee DH,Lee SH,et al.Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament.Arthroscopy,2008,24(6):642-649.
30. Lintz F,Pujol N,Boisrenoult O,et al.Anterior cruciate ligament mucoid degeneration:a review of the literature and management guidelines.Knee Surg Sports Traumatol Arthrosc,2011,19(8):1326-1333.

Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL STUDIES ON EFFECT OF ARTHROSCOPIC INTERCONDYLAR FOSSA ANGIOPLASTY ON ABILITY OF NEUROMUSCULAR CONTROL IN ELDERLY PATIENTS WITH KNEE OSTEOARTHRITIS

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