Top

International Orthopaedics

Published in:

01-08-2014 | Original Paper

Better results with patelloplasty compared to traditional total knee arthroplasty

Authors: Anja Župan, Žiga Snoj, Vane Antolič, Borut Pompe

Published in: International Orthopaedics | Issue 8/2014

Abstract

Purpose

The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty.

Methods

We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional treatment, only the surrounding osteophytes were removed. The outcome was measured using radiographs, Knee Injury and Osteoarthritis Outcome Score, Oxford Knee Score, Knee Society Score, Knee Society Function Score and Knee Society Pain Score.

Results

Patelloplasty patients had a better outcome according to the Oxford Knee Score (P = 0.012), Knee Injury and Osteoarthritis Outcome Score (P = 0.003) and all of the Knee Injury and Osteoarthritis Outcome Score subscales (P < 0.05). The patella was significantly thinner (P = 0.001) post-operatively in the patelloplasty patients, but there was no statistically significant correlation between Oxford Knee Score or Knee Injury and Osteoarthritis Outcome Score and post-operative patellar thickness in the patelloplasty group.

Conclusions

In this follow-up, patelloplasty was better than traditional treatment in relieving pain and improving function and quality of life.

Harwin SF, Stein AJ, Stern RE (1994) Patellofemoral resurfacing at total knee arthroplasty. Contemp Orthop 29:265–271PubMed

Patel K, Raut V (2011) Patella in total knee arthroplasty: to resurface or not to—a cohort study of staged bilateral total knee arthroplasty. Int Orthop 35:349–353PubMedCentralPubMedCrossRef

Waters TS, Bentley G (2003) Patellar resurfacing in total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg Am 85-A:212–217PubMed

Larson CM, Lachiewicz PF (1999) Patellofemoral complications with the Insall-Burstein II posterior-stabilized total knee arthroplasty. J Arthroplasty 14:288–292PubMedCrossRef

Ranawat CS, Flynn WF Jr, Saddler S, Hansraj KK, Maynard MJ (1993) Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop 286:94–102PubMed

Wood DJ, Smith AJ, Collopy D, White B, Brankov B, Bulsara MK (2002) Patellar resurfacing in total knee arthroplasty: a prospective, randomized trial. J Bone Joint Surg Am 84-A:187–193PubMed

Schiavone Panni A, Cerciello S, Del Regno C, Felici A, Vasso M (2014) Patellar resurfacing complications in total knee arthroplasty. Int Orthop 38(2):313–317PubMedCrossRef

Petersen W, Rembitzki IV, Brüggemann GP, Elermann A, Best R, Koppenburg AG, Liebau C (2014) Anterior knee pain after total knee arthroplasty: a narrative review. Int Orthop 38(2):319–328PubMedCentralPubMedCrossRef

Barrack RL, Bertot AJ, Wolfe MW, Waldman DA, Milicic M, Mayers L (2001) Patellar resurfacing in total knee arthroplasty. A prospective, randomized, double-blind study with five to seven years of follow-up. J Bone Joint Surg Am 83-A:1376–1381PubMed

10.

Li S, Yueping C, Su W, Zhao J, He S, Luo X (2011) Systematic review of patellar resurfacing in total knee arthroplasty. Int Orthop 35:305–316PubMedCentralPubMedCrossRef

11.

Ikejiani CE, Leighton R, Petrie DP (2000) Comparison of patellar resurfacing versus nonresurfacing in total knee arthroplasty. Can J Surg 43:35–38PubMedCentralPubMed

12.

Falez F (2014) Knee arthroplasty today. Int Orthop 38(2):221–225PubMedCrossRef

13.

Boyd AD Jr, Ewald FC, Thomas WH, Poss R, Sledge CB (1993) Long-term complications after total knee arthroplasty with or without resurfacing of the patella. J Bone Joint Surg Am 75:674–681PubMed

14.

Kelly M (2001) Patellofemoral complications following total knee arthroplasty. Instr Course Lect 50:403–407PubMed

15.

Rand JA (1994) The patellofemoral joint in total knee arthroplasty. J Bone Joint Surg Am 76:612–620PubMed

16.

Sun YQ, Yang B, Tong SL, Sun J, Zhu YC (2012) Patelloplasty versus traditional total knee arthroplasty for osteoarthritis. Orthopedics 35(3):e343–e348PubMed

17.

Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed

18.

Roos EM, Roos HP, Ekdahl C, Lohmander LS (1998) Knee injury and Osteoarthritis Outcome Score (KOOS)—validation of a Swedish version. Scand J Med Sci Sports 8:439–448PubMedCrossRef

19.

Pietschmann MF, Wohlleb L, Weber P, Schmidutz F, Ficklscherer A, Gülecyüz MF, Safi E, Niethammer TR, Jansson V, Müller PE (2013) Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect? Int Orthop 37(1):31–37PubMedCentralPubMedCrossRef

20.

Aglietti P, Insall JN, Cerulli G (1983) Patellar pain and incongruence. I: Measurements of incongruence. Clin Orthop 176:217–224PubMed

21.

Gomes LSM, Bechtold JE, Gustilo RB (1988) Patellar prosthesis positioning in total knee arthroplasty. A roentgenographic study. Clin Orthop 236:72–81PubMed

22.

Grelsamer R, Bazos A, Proctor C (1993) Radiographic analysis of patellar tilt. J Bone Joint Surg Br 75:822–824PubMed

23.

Liu ZT, Fu PL, Wu HS, Zhu Y (2012) Patellar reshaping versus resurfacing in total knee arthroplasty - Results of a randomized prospective trial at a minimum of 7 years’ follow-up. Knee 19(3):198–202PubMedCrossRef

24.

Hsu CH, Luo ZP, Rand JA, An KN (1996) Influence of patellar thickness on patellar tracking and patellofemoral contact characteristics after total knee arthroplasty. J Arthroplasty 11:69–80PubMedCrossRef

25.

Jiang CC, Chen CH, Huang LT, Liu YJ, Chang SL, Wen CY, Liu TK (1993) Effect of patellar thickness on kinematics of the knee joint. J Formos Med Assoc 92:373–378PubMed

26.

Reuben JD, McDonald CL, Woodard PL, Hennington LJ (1991) Effect of patella thickness on patella strain following total knee arthroplasty. J Arthroplasty 6(3):251–258PubMedCrossRef

Title: Better results with patelloplasty compared to traditional total knee arthroplasty
Authors: Anja Župan
Žiga Snoj
Vane Antolič
Borut Pompe
Publication date: 01-08-2014
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 8/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2366-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Better results with patelloplasty compared to traditional total knee arthroplasty

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 8/2014

The fifty most cited Latin-American articles in the orthopaedic literature

Re: Mono- versus polyaxial locking plates in distal femur fractures: a prospective randomized multicentre clinical trial

Opening wedge high tibial osteotomy: navigation system compared to the conventional technique in a controlled clinical study

Excessive polyethylene wear and acetabular bone defects from standard use of a hooded acetabular insert in total hip arthroplasty

Do we need to do overcorrection in Blount’s disease?

SICOT contribution to natural disaster assistance: the external fixator