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Better results with patelloplasty compared to traditional total knee arthroplasty

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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.

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References

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

    CAS  PubMed  Google Scholar 

  2. 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 35:349–353

    Article  PubMed Central  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  5. 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 286:94–102

    PubMed  Google Scholar 

  6. 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:187–193

    PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  8. 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):319–328

    Article  PubMed Central  PubMed  Google Scholar 

  9. 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:1376–1381

    CAS  PubMed  Google Scholar 

  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 35:305–316

    Article  CAS  PubMed Central  PubMed  Google Scholar 

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

    CAS  PubMed Central  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  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 75:674–681

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  16. Sun YQ, Yang B, Tong SL, Sun J, Zhu YC (2012) Patelloplasty versus traditional total knee arthroplasty for osteoarthritis. Orthopedics 35(3):e343–e348

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  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 8:439–448

    Article  CAS  PubMed  Google Scholar 

  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):31–37

    Article  PubMed Central  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

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

    CAS  PubMed  Google Scholar 

  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):198–202

    Article  CAS  PubMed  Google Scholar 

  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 11:69–80

    Article  CAS  PubMed  Google Scholar 

  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 92:373–378

    CAS  PubMed  Google Scholar 

  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):251–258

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Medical Faculty, University of Ljubljana, Ljubljana, Slovenia

    Anja Župan & Žiga Snoj

  2. Department of Orthopaedic Surgery, University Medical Centre, Ljubljana, Slovenia

    Vane Antolič & Borut Pompe

Authors
  1. Anja Župan
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  2. Žiga Snoj
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  3. Vane Antolič
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  4. Borut Pompe
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Corresponding author

Correspondence to Borut Pompe.

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Župan, A., Snoj, Ž., Antolič, V. et al. Better results with patelloplasty compared to traditional total knee arthroplasty. International Orthopaedics (SICOT) 38, 1621–1625 (2014). https://doi.org/10.1007/s00264-014-2366-2

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  • DOI: https://doi.org/10.1007/s00264-014-2366-2

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