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Knee Surgery, Sports Traumatology, Arthroscopy

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01-09-2013 | Knee

Cadaveric assessment of osteoarthritic changes in the patello-femoral joint: evaluation of 203 knees

Authors: Takanori Iriuchishima, Keinosuke Ryu, Shin Aizawa, Hiroshi Yorifuji

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2013

Abstract

Purpose

The purpose of this study was to determine the prevalence, type of lesion, and depth of osteoarthritic (OA) changes in the patello-femoral (PF) joint.

Methods

Two hundred and three cadaveric knees were included in this study with median age of 84 years (54–97). Patella OA lesions were classified using Han’s method: (Type 1) no or minimal lesion, (Type 2) medial facet lesion without involvement of the ridge, (Type 3) lateral facet lesion without involvement of the ridge, (Type 4) lesion involvement of the ridge, (Type 5) medial facet lesion with involvement of the ridge, (Type 6) lateral facet lesion with involvement of the ridge, (Type 7) global lesion. Femoral side OA lesions in the PF joint were classified using modified Chang’s method: (Type 1) no or minimal lesion, (Type 2) medial facet lesion, (Type 3) centre of patella groove lesion, (Type 4) lateral facet lesion, (Type 5) global lesion. OA depth evaluation was performed following Outerbridge’s classification.

Results

OA lesions of the patella were observed as follows: (Type 1) 31 %, (Type 2) 16 %, (Type 3) 3 %, (Type 4) 12 %, (Type 5) 22 %, (Type 6) 2 %, (Type 7) 14 %. Outerbridge’s classification of over Grade 2 OA depth was observed in 75.9 % of subjects. Femoral side OA lesions of the PF joint were observed as follows: (Type 1) 42 %, (Type 2) 20 %, (Type 3) 26 %, (Type 4) 2 %, (Type 5) 11 %. Outerbridge’s classification of over Grade 2 OA depth was observed in 58 % of subjects.

Conclusion

Patella OA and femoral side OA in the PF joint occurred mainly on the medial side. Isolated OA in the lateral facet of the PF joint was exceedingly rare. Female subjects had a greater incidence of severe PF-OA than male subjects, and therefore, the physicians should pay attention when they treat the female subjects not to advance the PF-OA.

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Title: Cadaveric assessment of osteoarthritic changes in the patello-femoral joint: evaluation of 203 knees
Authors: Takanori Iriuchishima
Keinosuke Ryu
Shin Aizawa
Hiroshi Yorifuji
Publication date: 01-09-2013
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2308-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Cadaveric assessment of osteoarthritic changes in the patello-femoral joint: evaluation of 203 knees

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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