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Patellectomy in Patellofemoral Joint Problems

  • Alfonso Vaquero-Picado
  • E. Carlos Rodríguez-Merchán
Chapter

Abstract

Patellectomy is advised as the last resort of treatment for patellofemoral joint problems, always when other surgical techniques have been carried out or are not suitable to treat the case. As a consequence of the changes in knee biomechanics after patellectomy, menisci and cruciate ligaments are also in risk of injury. Trochlear cartilage is also more exposed to direct injuries, and tibiofemoral osteoarthritis is accelerated. In this chapter, the technique and results of patellectomy are described.

Keywords

Patellectomy Patellofemoral problems Indications Results 

References

  1. 1.
    Cavaignac E, Pailhé R, Reina N, Wargny M, Bellemans J, Chiron P. Total patellectomy in knees without prior arthroplasty: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2014;22:3083–392.CrossRefGoogle Scholar
  2. 2.
    Sayum Filho J, Lenza M, Teixeira de Carvalho R, Pires OGN, Cohen M, Belloti JC. Interventions for treating fractures of the patella in adults. Cochrane Database Syst Rev. 2015;2:CD009651.Google Scholar
  3. 3.
    Günal I, Karatosun V. Patellectomy: an overview with reconstructive procedures. Clin Orthop Relat Res. 2001;389:74–8.CrossRefGoogle Scholar
  4. 4.
    Kelly MA, Insall JN. Patellectomy. Orthop Clin North Am. 1986;17:289–95.PubMedGoogle Scholar
  5. 5.
    Brooke R. The treatment of fractured patella by excision: a study of morphology and function. Br J Surg. 1937;24:333–47.CrossRefGoogle Scholar
  6. 6.
    Garr EL, Moskowitz RW, Davis W. Degenerative changes following experimental patellectomy in the rabbit. Clin Orthop Relat Res. 1973;92:296–304.CrossRefGoogle Scholar
  7. 7.
    Ackroyd CE, Polyzoides AJ. Patellectomy for osteoarthritis. A study of eighty-one patients followed from two to twenty-two years. J Bone Joint Surg Br. 1978;60:353–7.CrossRefGoogle Scholar
  8. 8.
    Kaufer H. Mechanical function of the patella. J Bone Joint Surg Am. 1971;53:1551–60.CrossRefGoogle Scholar
  9. 9.
    Noble HB, Hajek MR. Boutonnière-type deformity of the knee following patellectomy and manipulations. A case report. J Bone Joint Surg Am. 1984;66:137–8.CrossRefGoogle Scholar
  10. 10.
    Scott JC. Fractures of the patella. J Bone Joint Surg Br. 1949;31:76–81.CrossRefGoogle Scholar
  11. 11.
    West FE, Soto-Hall R. Recurrent dislocation of the patella in the adult; end results of patellectomy with quadricepsplasty. J Bone Joint Surg Am. 1958;40:386–93.CrossRefGoogle Scholar
  12. 12.
    Baker CL, Hughston JC. Miyakawa patellectomy. J Bone Joint Surg Am. 1988;70:1489–94.CrossRefGoogle Scholar
  13. 13.
    Reinhardt KR, Huffaker SJ, Thornhill TS, Scott RD. Cruciate-retaining TKA is an option in patients with prior patellectomy. Clin Orthop Relat Res. 2015;473:111–4.CrossRefGoogle Scholar
  14. 14.
    Asadollahi S, Sorial R, Coffey S, Gupta M, Eslick GD. Total knee arthroplasty after patellectomy: a meta-analysis of case-control studies. Knee. 2017;24:191–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alfonso Vaquero-Picado
    • 1
  • E. Carlos Rodríguez-Merchán
    • 1
  1. 1.Department of Orthopedic Surgery“La Paz” University Hospital-IdiPazMadridSpain

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