Patellofemoral arthroplasty, where are we today?

Lustig, Sébastien; Magnussen, Robert A.; Dahm, Diane L.; Parker, David

doi:10.1007/s00167-012-1948-z

Cited by 73 publications

(67 citation statements)

References 70 publications

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“…No significant progression of tibiofemoral OA or significant changes in patellar height were observed. To date, most trochlear implants can be considered as onlay designs or anterior cut prosthesis, respectively [39,54,59]. These implants are based on the trochlear cuts of a total knee arthroplasty, replacing the entire anterior trochlear surface [39].…”

Section: Discussionmentioning

confidence: 99%

Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months

Imhoff¹,

Feucht²,

Meidinger

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 99%

Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months

Imhoff¹,

Feucht²,

Meidinger

et al. 2013

Knee Surg Sports Traumatol Arthrosc

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“…The curvature and width of the implant did not reproduce the normal patellar tracking, leading to a high percentage of persisting anterior knee pain and snapping problems [14].…”

mentioning

confidence: 99%

Patellofemoral arthroplasty influences tibiofemoral kinematics: the effect of patellar thickness

Vandenneucker

Labey²,

Victor

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…On the other hand, anterior knee pain rates of 7-19% and better knee society scores of total knee arthroplasty, for arthrosis involving three compartments of the knee when compared to PFA, stress the importance of correct patient selection. In current practice, despite lack of any rule regarding age, PFA may be a better choice than total knee arthroplasty or patellectomy in knee anterior compartment arthrosis patients who are younger than 55 years of age (27,28). Finansal Destek: Yazarlar bu çalışma için finansal destek almadıklarını beyan etmişlerdir.…”

Section: Resultsmentioning

confidence: 99%

Patellofemoral Arthrosis and Patellofemoral Arthroplasty

Yılmaz¹,

Özdemir²,

Kömür³

et al. 2014

JAREM

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The patellofemoral joint tends to develop osteoarthritis due to the high rates of anatomical abnormalities and exposure to large weights through relatively small areas. The rate of isolated patellofemoral arthrosis is 11% in men and 24% in women above 55 years of age. This gender difference may be due to the more frequent presence of patellar aligment problems and dysplasia in women. Although, patellofemoral arthrosis, in general, is treated by conservative methods, surgery should be considered for patients who have failed to benefit from weight loss, physical therapy and drug treatment because the disease leads to pain and loss of function. In the surgical treatment of patellofemoral arthrosis, methods such as arthroscopic debridement, management of loads that affect the patella, cartilage grafting, patellar resurfacing, patellafemoral arthroplasty (PFA), total joint replacement and patellectomy can be used. However, PFA has not been widely used. The reasons were problems with the initial design, and mistakes in patient selection, but those were reduced recently and this has led to increasing interest in the PFA. The current indications of PFA comprise of patients with little or no malalignment, and young patients with isolated patellofemoral disease who were planned for patellectomy due to symptom severity. Indeed, the outcomes from patients who were below 55 years of age with a 5-year follow up are promising. (JAREM 2014; 1: 1-3) Key Words: Patellafemoral joint, arthrosis, patellofemoral arthroplasty ÖZET Patellofemoral eklem büyük yüklerin dar temas alanları üzerinden etki etmesi ve nispeten anatomik anomali oranının sıklığı nedeniyle osteoartrite oldukça meyilli bir eklemdir. Tek başına patellofemoral artroz varlığı 55 yaş üstü erkeklerde %11, kadınlarda %24 oranında görülmekle birlikte bu cinsiyet farklılığının nedeni kadınlarda daha sık olan patellar dizilim bozukluğu ve displazi olabilir. Patellofemoral artroz genellikle konservatif yöntemler ile tedavi edilmeye çalışılsa da; tek başına ağrı ve fonksiyon kaybı yaratması nedeniyle kilo verme, fizik tedavi ve ilaç tedavisinden fayda görmeyen hastalar için cerrahi seçenekler gözönünde bulundurulmalıdır. Patellofemoral artroz cerrahi tedavisinde artroskopik debridman, patellayı etkileyen yüklerin düzenlenmesi, kıkırdak greftlemeleri, patellar yüzey yenilemeleri, Patellofemoral artroplasti (PFA), total eklem replasmanı ve patellektomiye uzanan yöntemler uygulanabilmektedir. Bununla birlikte PFA çok yaygın kullanım alanı bulamamıştır. Bunun nedeni olarak gösterilen ilk tasarımlardaki sorunlar ve hasta seçimindeki hata oranlarının azaltılması ile özellikle son yıllarda PFA'ye olan ilgi de artmıştır. PFA'nin günümüzdeki endikasyonları arasında yanlış dizilimin çok az olduğu ya da hiç olmadığı hastalar ve semptomların ciddiyeti nedeniyle patellektomi planlanan izole patellofemoral hastalığı olan genç hastalar vardır. Gerçekten de 55 yaş altı ve en az 5 yıllık takibi olan hastaların sonuçları cesaret vericidir. (JAREM 2014; 1: 1-3) Anahtar Sözcükler:...

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Patellofemoral arthroplasty, where are we today?

Abstract: IV.

Cited by 73 publications

References 70 publications

Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months

Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months

Patellofemoral arthroplasty influences tibiofemoral kinematics: the effect of patellar thickness

Patellofemoral Arthrosis and Patellofemoral Arthroplasty

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