Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Muñoz-Mahamud, Ernesto; Popescu, Dragos; Núñez, Esther; Lozano, Luís; Núñez, Montserrat; Sastre, Sergi; Torner, P.; Segur, Josep M.; Maculé, F.

doi:10.1007/s00167-011-1402-7

Cited by 35 publications

(23 citation statements)

References 32 publications

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“…The described difference in the incidence of patello-femoral revisions may rely on different therapy concepts. In primary bicompartimental TKA the revision of the pf-joint might be a first salvage procedure, however, we, of course, are aware of the poor outcome of the secondary patella resurfacing [13].…”

Section: Discussionmentioning

confidence: 99%

Update on the etiology of revision TKA — Evident trends in a retrospective survey of 1449 cases

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Update on the etiology of revision TKA — Evident trends in a retrospective survey of 1449 cases

et al. 2015

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“…In our clinical practice, the patella is only resurfaced in patients with patellofemoral incongruence because of severe patellar dysplasia, focal osteonecrosis or osteolysis, and subchondral bone defects [28,44,48]. In this series, patellar resurfacing was performed in three patients.…”

Section: Implant Design and Surgical Techniquementioning

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 indication for secondary patellar resurfacing for anterior knee pain should be arrived at with care, because the success rate is stated to vary between only 50 and 60 % [15, 17, 24, 50, 51]. One reason for this observation could be that many other causes of anterior knee pain are responsible besides progression of arthritis and retropatellar cartilage damage.…”

Section: Introductionmentioning

confidence: 99%

Anterior knee pain after total knee arthroplasty: a narrative review

Petersen

Rembitzki²,

Brüggemann

et al. 2013

International Orthopaedics (SICOT)

183

158

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Anterior knee pain is one of the most common causes of persistent problems after implantation of a total knee replacement. It can occur in patients with or without patellar resurfacing. As a result of the surgical procedure itself many changes can occur which may affect the delicate interplay of the joint partners in the patello-femoral joint. Functional causes of anterior knee pain can be distinguished from mechanical causes. The functional causes concern disorders of inter- and intramuscular coordination, which can be attributed to preoperative osteoarthritis. Research about anterior knee pain has shown that not only the thigh muscles but also the hip and trunk stabilising muscles may be responsible for the development of a dynamic valgus malalignment. Dynamic valgus may be a causative factor for patellar maltracking. The mechanical causes of patello-femoral problems after knee replacement can be distinguished according to whether they increase instability in the joint, increase joint pressure or whether they affect the muscular lever arms. These causes include offset errors, oversizing, rotational errors of femoral or tibial component, instability, maltracking and chondrolysis, patella baja and aseptic loosening. In these cases, reoperation or revision is often necessary.

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Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Abstract: No clinical or radiological parameter was found to be related to the final outcome after SPR. There was a discrepancy between functional scale scores and the patient's subjective satisfaction.

Cited by 35 publications

References 32 publications

Update on the etiology of revision TKA — Evident trends in a retrospective survey of 1449 cases

Update on the etiology of revision TKA — Evident trends in a retrospective survey of 1449 cases

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

Anterior knee pain after total knee arthroplasty: a narrative review

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