Arthroscopic Treatment of Patellar Clunk and Synovial Hyperplasia After Total Knee Arthroplasty

Dajani, Khaled A.; Stuart, Michael J.; Dahm, Diane L.; Levy, Bruce A.

doi:10.1016/j.arth.2008.11.005

Cited by 53 publications

(49 citation statements)

References 19 publications

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“…Our analysis provides an incidence of 2.3% of knees having a NRR for stiffness. Reported incidence of patellar clunk syndrome after TKA varies widely (0%-13.3%) and depends upon femoral component design [1,2,4,6,9,12]. The incidence reported here (0.5%) suggests an improvement in component design and technique.…”

Section: Discussionmentioning

confidence: 67%

“…Early models of similar implants have been associated with a high incidence of patellofemoral problems [4]. Several reports suggest arthroscopic débridement for patellar clunk alleviates the patient's symptoms [1,28]. The incidence of NRR for infection was 48/10188 (0.5%) and infection is a devastating complication.…”

Section: Discussionmentioning

confidence: 99%

“…Reoperations may include manipulation under anesthesia (MUA), irrigation and débridement (I&D), arthroscopy, open reduction internal fixation (ORIF), and others. While incidences of individual complications requiring such reoperations have been reported [1,2,4,6,7,9,11,12,14,21,25,29] (Table 1), the comprehensive profile of indications for nonrevision reoperation (NRR) following primary TKA is unreported. Knowledge of the incidence, indication, timing, and predictors of NRR will allow for an efficient use of resources in targeting the most common causes for reoperation, continuing research in preventing these complications, and identifying patients at the greatest risk so preventative measures may be taken.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence and Reasons for Nonrevision Reoperation After Total Knee Arthroplasty

Zmistowski

Restrepo

Kahl

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence and Reasons for Nonrevision Reoperation After Total Knee Arthroplasty

Zmistowski

Restrepo

Kahl

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Therefore, it may be that soft tissue problems play a significant role in AKP after TKA. Synovial impingement after TKA can play an important role in postoperative pain [65] . Two studies evaluated the influence of denervation of the patella and Van Jonbergen found a difference in favour of circumpatellar electrocautery The different zones of loading across the knee joint.…”

Section: Discussionmentioning

confidence: 99%

Anterior knee pain after a total knee arthroplasty: What can cause this pain?

Breugem¹,

Haverkamp²

2014

WJO

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Total Knee Arthroplasty has been shown to be a successful procedure for treating patients with osteoarthritis, and yet approximately 5%-10% of patients experience residual pain, especially in the anterior part of the knee. Many theories have been proposed to explain the etiology of this anterior knee pain (AKP) but, despite improvements having been made, AKP remains a problem. AKP can be described as retropatellar or peripatellar pain, which limits patients in their everyday lives. Patients suffering from AKP experience difficulty in standing up from a chair, walking up and down stairs and riding a bicycle. The question asked was: "How can a 'perfectly' placed total knee arthroplasty (TKA) still be painful: what can cause this pain?". To prevent AKP after TKA it is important to first identify the different anatomical structures that can cause this pain. Greater attention to and understanding of AKP should lead to significant pain relief and greater overall patient satisfaction after TKA. This article is a review of what pain is, how nerve signalling works and what is thought to cause Anterior Knee Pain after a Total Knee Arthroplasty.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words:Anterior knee pain; Patellofemoral pain; Total knee arthroplasty; Malrotation; Homeostasis Core tip: Total knee arthroplasty (TKA) has been shown to be a successful procedure for treating patients with osteoarthritis, and yet approximately 5%-10% of patients experience anterior knee pain (AKP). To prevent AKP after TKA it is important to first identify the different anatomical structures that can cause this pain. Greater attention to and understanding of AKP should lead to significant pain relief and greater overall patient satisfaction after TKA. This article is a review of what pain is, how nerve signalling works and what is thought to cause AKP after a TKA.Breugem SJM, Haverkamp D. Anterior knee pain after a total knee arthroplasty: What can cause this pain? World

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“…Excellent results have been reported following arthroscopic resection of the fibrous nodule, with 74% to 100% of patients demonstrating resolution of their symptoms (Fig. 6) [20][21][22] . In refractory cases or in the presence of substantial adhesions obscuring arthroscopic visualization, an open peripatellar synovectomy can be performed and has a high rate of success 1 .…”

Section: Management and Surgical Techniquesmentioning

confidence: 71%

The Management of Extensor Mechanism Complications in Total Knee Arthroplasty

Nam

Abdel

Cross

et al. 2014

Journal of Bone and Joint Surgery

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Complications involving the knee extensor mechanism and patellofemoral joint occur in 1% to 12% of patients following total knee arthroplasty and have major negative effects on patient outcomes and satisfaction. The surgeon must be aware of intraoperative, postoperative, and patient-related factors that can increase the rate of these problems. This review focuses on six of the most commonly encountered problems: patellar tendon disruption, quadriceps tendon rupture, patellar crepitus and soft-tissue impingement, periprosthetic patellar fracture, patellofemoral instability, and osteonecrosis of the patella. The goals of this report are to (1) review the relevant anatomy of the knee extensor mechanism, (2) present risk factors that may lead to extensor mechanism complications, (3) provide a diagnostic and treatment algorithm for each of the aforementioned problems, and (4) review the specific surgical techniques of Achilles tendon allograft reconstruction and synthetic mesh augmentation. Extensor mechanism disorders following total knee arthroplasty remain difficult to manage effectively. Although various surgical techniques have been used, the results in patients with a prior total knee arthroplasty are inferior to the results in the young adult without such a prior procedure. Surgical attempts at restoration of the knee extensor mechanism are usually warranted; however, the outcomes of treatment of these complications are often poor, and management of patient expectations is important.

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Arthroscopic Treatment of Patellar Clunk and Synovial Hyperplasia After Total Knee Arthroplasty

Cited by 53 publications

References 19 publications

Incidence and Reasons for Nonrevision Reoperation After Total Knee Arthroplasty

Incidence and Reasons for Nonrevision Reoperation After Total Knee Arthroplasty

Anterior knee pain after a total knee arthroplasty: What can cause this pain?

The Management of Extensor Mechanism Complications in Total Knee Arthroplasty

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