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International Orthopaedics

Published in:

01-07-2015 | Original Paper

Secondary patellar resurfacing following total knee arthroplasty

A cohort study in fifty eight knees with a mean follow-up of thirty one months

Authors: Philip Scheurer, Inge H. F. Reininga, Hans-Peter W. van Jonbergen, Jos J. A. M. van Raay

Published in: International Orthopaedics | Issue 7/2015

Abstract

Purpose

If anterior knee pain (AKP) emerges or persists following total knee arthroplasty (TKA), secondary patellar resurfacing (SPR) may offer relief of AKP. The purpose of our study was to evaluate the mid-term clinical outcomes after secondary patellar resurfacing for persistent AKP. Secondary objectives were to correlate surgical outcomes with clinical and radiological parameters including 99 m-technetium bone scintigraphy.

Methods

In this study, 57 patients (58 knees, 51 women and 6 men) with a mean age of 70 years at the time of SPR were included. Patients were asked about their satisfaction regarding the outcome of the procedure. Patellar position was assessed by axial radiographs, and we reassessed the preoperatively performed bone scintigraphy.

Results

After a median follow-up of 31 (6–76) months, 42 patients (43 knees) were satisfied and 15 were dissatisfied regarding the outcome of the procedure. Dissatisfied patients had more often a shorter time interval between TKA and SPR, patellar tilt on axial radiographs, and a ‘hot’ bone scan.

Conclusion

In patients with persistent AKP following TKR, secondary resurfacing leads to patient satisfaction in a relatively large number of patients. Better results were seen in patients without tilting of the patella. The added value of a bone scan as an indicator to perform SPR is not clarified in the present study.

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Title: Secondary patellar resurfacing following total knee arthroplasty
A cohort study in fifty eight knees with a mean follow-up of thirty one months
Authors: Philip Scheurer
Inge H. F. Reininga
Hans-Peter W. van Jonbergen
Jos J. A. M. van Raay
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 7/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-2684-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Secondary patellar resurfacing following total knee arthroplasty

A cohort study in fifty eight knees with a mean follow-up of thirty one months

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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