Patellar Resurfacing or Retention in Total Knee Arthroplasty. A Prospective Study of Patients with Bilateral Replacements.

Publication/Presentation Date

11-1-1994

Abstract

Patellofemoral problems are a common cause of morbidity and reoperation after total knee arthroplasty. We made a prospective study of 52 patients who had bilateral arthroplasty (104 knees) and in whom the patella was resurfaced on one side and not on the other. A movable-bearing prosthesis with an anatomical femoral groove was implanted on both sides by the same surgeon using an otherwise identical technique. The mean follow-up was 5.24 years (2 to 10). In the 30 available patients (60 knees) there was no difference between the two sides in subjective preference, performance on ascending and descending stairs or the incidence of anterior knee pain. Radiographs showed no differences in prosthetic alignment, femoral condylar height, patellar congruency or joint line position. The use of an appropriate prosthetic design and careful surgical technique can provide equivalent results after knee arthroplasty with or without patellar resurfacing. Given the indications and criteria, which we discuss, retention of the patellar surface is an acceptable option.

Volume

76

Issue

6

First Page

930

Last Page

937

ISSN

0301-620X

Disciplines

Medical Sciences | Medicine and Health Sciences | Orthopedics | Surgery

PubMedID

7983122

Department(s)

Department of Medicine, Department of Surgery, Department of Surgery Faculty

Document Type

Article

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