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Complications of Patellofemoral Surgery

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Book cover The Patella

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Abstract

With a better understanding of the anatomy and biomechanics of the patellofemoral joint and the more specific indications for surgical intervention, complications of patellofemoral surgery should become less frequent. However, seemingly innocuous procedures can result in severe functional disability if complications arise. Nothing can substitute for carefully planned and performed procedures in avoiding such complications. This chapter will address the complications of patellofemoral surgery, their avoidance, and guidelines for treating complications that may occur.

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References

  1. Evans IK, Paulos LE: Complications of patellofemoral joint surgery. Orthop Clin North Am 1992; 3: 697–709.

    Google Scholar 

  2. Merchant AC, Mercer RL: Lateral release of the patella: A preliminary report. Clin Orthop 1974; 103: 40–45.

    Article  PubMed  Google Scholar 

  3. Metcalf RW: An arthroscopic method for lateral release of the subluxating or dislocating patella. Clin Orthop 1982; 167: 9–18.

    PubMed  Google Scholar 

  4. Small NC: An analysis of complications in lateral retinacular release procedures. Arthroscopy 1989; 5: 282–286.

    Article  PubMed  CAS  Google Scholar 

  5. Dzioba RB: Diagnostic arthroscopy and longitudinal lateral release: A four year follow-up study to determine predictors of surgical outcome. Am J Sports Med 1990; 18: 343–348.

    Article  PubMed  CAS  Google Scholar 

  6. Kennedy JC, Alexander IJ, Hayes KC: Nerve supply of the human knee and its functional importance. Am J Sports Med 1982; 10: 329–335.

    Article  PubMed  CAS  Google Scholar 

  7. Betz RR, MaGill JT, Lonergan RP: The per-cutaneous lateral retinacular release. Am J Sports Med 1987; 15: 477–482.

    Article  PubMed  CAS  Google Scholar 

  8. Blasier RB, Ciullo JV: Rupture of the quadri-ceps tendon after lateral release: A case report. Arthroscopy 1986; 2: 262–263.

    Article  PubMed  CAS  Google Scholar 

  9. Hughston JC, Deese M: Medial subluxation of the patella as a complication of lateral retinacular release. Am J Sports Med 1988; 16: 383–388.

    Article  PubMed  CAS  Google Scholar 

  10. Kolowich PA, Paulos LE, Rosenberg TD, et al.: Lateral release of the patella: Indications and contraindications. Am J Sports Med 1990; 18: 359–365.

    Article  PubMed  CAS  Google Scholar 

  11. Langeland N: Recurrent dislocation of the patella following lateral retinacular release: A case report. Arch Orthop Trauma Surg 1983; 102: 65–66.

    Article  PubMed  CAS  Google Scholar 

  12. Shellock FG, Mink JH, Dutsch A, et al.: Evaluation of patients with persistent symptoms after lateral retinacular release by kinematic MRI of the patellofemoral joint. Arthroscopy 1990; 6: 226–234.

    Article  PubMed  CAS  Google Scholar 

  13. Ceder LC, Larson RL: Z-plasty lateral retinacular release for the treatment of patellar compression syndrome. Clin Orthop 1979; 144: 110–113.

    PubMed  Google Scholar 

  14. Kettlekamp DB: Current concepts review: Management of patellar malalignment. J Bone Joint Surg Am 1987; 63A: 1344–1348.

    Google Scholar 

  15. McGinty JB, McCarthy JC: Endoscopic lateral retinacular release: A preliminary report. Clin Orthop 1981; 158: 120–125.

    PubMed  Google Scholar 

  16. Hughston JC, Walsh WM: Proximal and distal reconstruction of the extensor mechanism for patellar subluxation. Clin Orthop 1979; 144: 36–42.

    PubMed  Google Scholar 

  17. Larson RL: Subluxation-dislocation of the patella, in Kennedy JC (ed.): The Injured Adolescent Knee. Baltimore: Williams & Wilkins Co., 1979;pp. 161–204.

    Google Scholar 

  18. Huberti HH, Hayes WC: Contact pressure in chondromalacia patellae and the effects of capsular reconstructive procedures. J Orthop Res 1988; 6: 499–508.

    Article  PubMed  CAS  Google Scholar 

  19. Brown DE, Alexander AH, Lichtman DM: The Elmslie-Trillat procedure: Evaluation in patellar dislocation and subluxation. Am J Sports Med 1984; 12: 104–109.

    Article  PubMed  CAS  Google Scholar 

  20. Paulos LE, Rosenberg TD, Draubach J, et al.: Infrapatellar contraction syndrome: An unrecognized cause of knee stiffness with patella entrapment and patella infera. Am J Sports Med 1987; 15: 331–341.

    Article  PubMed  CAS  Google Scholar 

  21. Cox JS: Evaluation of the Rous-Elmslie-Trillat procedure for knee extensor realignment. Am J Sports Med 1982; 10: 303–310.

    Article  PubMed  CAS  Google Scholar 

  22. Barbari S, Raugstad TS, Lichtensberg N: The Hauser operation for patellar dislocation: 3-32 year results in 63 knees. Acta Orthop Scand 1990; 61: 32–35.

    Article  PubMed  CAS  Google Scholar 

  23. Crosby EB, Insall J: Recurrent dislocation of the patella. J Bone Joint Surg Am 1976; 58A: 9–13.

    PubMed  CAS  Google Scholar 

  24. Fulkerson JP, Becker GJ, Meaney JA, et al.: Anteromedial tibial tubercle transfer without bone graft. Am J Sports Med 1990; 18: 490–497.

    Article  PubMed  CAS  Google Scholar 

  25. Hughston JC, Walsh W, Puddu G: in Sledge CB (ed.): Patellar Subluxation and Dislocation. Philadelphia, WB Saunders Co., 1984, pp. 87–128.

    Google Scholar 

  26. Macnab I: Recurrent dislocation of the patella. J Bone Joint Surg Am 1952; 34A: 957–967.

    PubMed  Google Scholar 

  27. Noyes FR, Wojtys EM, Marshall MT: The early diagnosis and treatment of developmental patella infera syndrome. Clin Orthop 1991; 265: 241–252.

    PubMed  Google Scholar 

  28. Garland DE, Hughston JC: Peroneal nerve paralysis: Complications of extensor mechanism reconstruction of the knee. Clin Orthop 1979; 140: 169–171.

    PubMed  Google Scholar 

  29. Wall JJ: Compartment syndrome as a complication of the Hauser procedure. J Bone Joint Surg Am 1979; 61A: 185–191.

    PubMed  CAS  Google Scholar 

  30. Wiggins HW: The anterior tibial compartment syndrome: A complication of the Hauser procedure. Clin Orthop 1975; 113: 90–92.

    Article  PubMed  Google Scholar 

  31. Templeman D, McBeath A: Iatrogenic patella malalignment following the Roux-Goldthwait procedure, corrected by dynamic intraoperative realignment. J Bone Joint Surg Am 1986; 68A: 1096–1098.

    PubMed  CAS  Google Scholar 

  32. Blazina ME, Fox JM, Carlson GJ, et al.: Patella baja: A technical consideration in evaluating results of tibial tubercle transplantation. J Bone Joint Surg Am 1975; 57A: 1027–1032.

    Google Scholar 

  33. Linclau L, Dokter G: Iatrogenic patella baja. J Bone Joint Surg Am 1976; 58A: 9–13.

    Google Scholar 

  34. Hampson WG, Hill P: Late results of transfer of the tibial tubercle for recurrent dislocation of the patella. J Bone Joint Surg Br 1975; 57B: 209–213.

    PubMed  CAS  Google Scholar 

  35. Maquet PGJ: Consideration biomechanique sur, Farthrose du genou. Rev Rheum 1963; 30: 779.

    CAS  Google Scholar 

  36. Maquet PGJ: Pathomechanics of osteoarthritis of the knee, in Biomechanics of the Knee, with Application to the Pathogenesis and Surgical Treatment of Osteoarthritis, ed. 2. Berlin, Springer-Verlag, 1984, pp. 107–109.

    Google Scholar 

  37. Maquet PGJ: Mechanics and osteoarthritis of the patellofemoral joint. Clin Orthop 1979; 155: 70–73.

    Google Scholar 

  38. Bessette GC, Hunter RE: The Maquet procedure: A retrospective review. Clin Orthop 1988; 232: 159–167.

    PubMed  Google Scholar 

  39. Ferguson AB, Brown TD, Fu FH, et al.: Relief of patellofemoral contact stress by anterior displacement of the tibial tubercle. J Bone Joint Surg Am 1979; 61A: 159–166.

    PubMed  Google Scholar 

  40. Mendes DG, Soudray M, Iusim M: Clinical as¬sessment of Maquet tibial tuberosity advancement. Clin Orthop 1987; 222: 228–238.

    PubMed  Google Scholar 

  41. Radin EL: Anterior tibial tubercle elevation in the young adult. Orthop Clin North Am 1976; 17: 297–302.

    Google Scholar 

  42. Radin EL, Labosky DA: Avoiding complications associated with the Maquet procedure. Comp Orthop 1989; 2: 48–53.

    Google Scholar 

  43. Heatley FW, Allen PR, Patrick JH: Tibial tubercle advancement for anterior knee pain: A temporary or permanent solution. Clin Orthop 1986; 208: 215–224.

    PubMed  Google Scholar 

  44. Blazina ME, Fox JM, Del Pizzo W, et al.: Patellofemoral replacement. Clin Orthop 1979; 144: 98–103.

    PubMed  Google Scholar 

  45. Insall J, Tria AJ, Aglietti P: Resurfacing of the patella. J Bone Joint Surg Am 1980; 62A: 933–936.

    PubMed  CAS  Google Scholar 

  46. Baker CL, Hughston JC: Miyakawa patellectomy. J Bone Joint Surg Am 1988; 70A: 1489–1494.

    PubMed  CAS  Google Scholar 

  47. Bentley G, Dowd, G: Current concepts of etiology and treatment of chondromalacia patellae. Clin Orthop 1984; 189: 209–228.

    PubMed  Google Scholar 

  48. Compere CL, Hill JA, Lewinek GE, et al.: A new method of patellectomy for patellofemoral arthritis. J Bone Joint Surg Am 1979; 61A: 714–719.

    PubMed  CAS  Google Scholar 

  49. Sutton FS, Thompson CH, Lipke J, et al.: Effect of patellectomy on knee function. J Bone Joint Surg Am 1976; 58A: 537–540.

    PubMed  Google Scholar 

  50. Kaufer H: Mechanical function of the patella. J Bone Joint Surg Am 1971; 53A: 1551–1560.

    PubMed  CAS  Google Scholar 

  51. Kelly MA, Insall JN: Patellectomy. Orthop Clin North Am 1986; 17: 289–295.

    PubMed  CAS  Google Scholar 

  52. Steurer PA, Gradisar IA, Hoyt WA, et al.: Patellectomy: A clinical study and biomechanical evaluation. Clin Orthop 1979; 144: 84–90.

    PubMed  Google Scholar 

  53. Watkins MP, Harris BA, Wender S, et al.: Effect of patellectomy on the function of the quadriceps and hamstrings. J Bone Joint Surg Am 1983; 65A: 390–395.

    PubMed  CAS  Google Scholar 

  54. Larson KR, Cracchiolo A, Dorey FJ, et al.: Total knee arthroplasty in patients after patellectomy. Clin Orthop 1991; 264: 243–254.

    PubMed  Google Scholar 

  55. Beuchel FF: Patellar tendon bone grafting for patellectomized patients having total knee arthroplasty. Clin Orthop 1991; 271: 72–78.

    Google Scholar 

  56. Johnson EE: Fractures of the patella, in Rockwood CA, Green DP, Bucholz RW (eds.): Fractures in Adults. Philadelphia: JB Lippincott Co., 1991, pp. 1762–1777.

    Google Scholar 

  57. Muller ME, Allgower M, Willinegger H: Manual of Internal Fixation: Technique Recommended by the AO Group. New York, Springer-Verlag, 1979.

    Google Scholar 

  58. Nummi J: Fracture of the patella: A clinical study of 707 patellar fractures. Injury 1971; 60 (suppl.): 179–189.

    Google Scholar 

  59. Hung LK, Chan KM, Chow YN, et al.: Fractured patella: Operative treatment using the tension band principle. Injury 1985; 16: 343–347.

    Article  PubMed  CAS  Google Scholar 

  60. Scapinelli R: Blood supply of the patella: Its relation to ischemic necrosis after fracture. J Bone Joint Surg Br 1967; 49B: 563–570.

    PubMed  CAS  Google Scholar 

  61. Siwek CW, Rao JP: Ruptures of the extensor mechanism of the knee joint. J Bone Joint Surg Am 1981; 63A: 932–937.

    PubMed  CAS  Google Scholar 

  62. Levy M, Goldstein J, Rosner M: A method of repair for quadriceps tendon or patella ligament ruptures without cast immobilization. Clin Orthop 1987; 281: 297–301.

    Google Scholar 

  63. Bonamo JJ, Krinick RM, Sporn AA: Rupture of the patellar ligament after use of its central third for anterior cruciate reconstruction: A report of two cases. J Bone Joint Surg Am 1984; 66A: 1294–1297.

    PubMed  CAS  Google Scholar 

  64. Burks RT, Haut RE, Lancaster RL: Biomechanical and histological observations of the dog patellar tendon after removal of its central one-third. Am J Sports Med 1990; 18: 146–153.

    Article  PubMed  CAS  Google Scholar 

  65. DeLee JC, Craviotto DF: Rupture of the quadriceps tendon after a central third patellar tendon ACL reconstruction. Am J Sports Med 1991; 19: 415–416.

    Article  PubMed  CAS  Google Scholar 

  66. Graf B, Uhr F: Complications of intra-articular ACL reconstruction. Clin Sports Med 1988; 7: 835–848.

    PubMed  CAS  Google Scholar 

  67. McCarroll JR: Fracture of the patella during a golf swing following reconstruction of the ACL: A case report. Am J Sports Med 1983; 11: 26–27.

    Article  PubMed  CAS  Google Scholar 

  68. Hughston JC: Complications of ACL surgery. Orthop Clin North Am 1985; 16: 237–240.

    PubMed  CAS  Google Scholar 

  69. Sachs RA, Daniel DM, Stone MI, et al.: Patellofemoral problems after ACL reconstruction. Am J Sports Med 1989; 17: 760–765.

    Article  PubMed  CAS  Google Scholar 

  70. Rosenberg TD, Franklin JL, Bladwin GN, et al.: Extensor mechanism function after patellar tendon graft harvest for ACL reconstruction. Am J Sports Med 1992; 20: 519–526.

    Article  PubMed  CAS  Google Scholar 

  71. Richmond JC, Assal MA: Arthroscopic management of arthrofibrosis of the knee, including infrapatellar contraction syndrome. Arthroscopy 1991; 7: 144–147.

    Article  PubMed  CAS  Google Scholar 

  72. Sprague NF, O’Connor RL, Fox JM: Arthroscopic treatment of postoperative knee arthrofibrosis. Clin Orthop 1982; 166: 165–172.

    PubMed  Google Scholar 

  73. Paulos LE, Wnorowski DC, Greenwald A: Infrapatellar contracture syndrome: Diagnosis, treatment, long-term follow-up. Submitted for publication 1993.

    Google Scholar 

  74. Katz MM, Hungerford DS: Reflex sympathetic dystrophy affecting the knee. J Bone Joint Surg Br 1987; 69B: 797–803.

    PubMed  CAS  Google Scholar 

  75. Cooper DE, DeLee JC, Ramamurthy S: Reflex sympathetic dystrophy of the knee. J Bone Joint Surg Am 1989; 71A: 365–369.

    PubMed  CAS  Google Scholar 

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Authors
  1. David C. Hillsgrove
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  2. Lonnie E. Paulos
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Editor information

Editors and Affiliations

  1. Beth Israel Medical Center-North Division, The Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, NY, 10128, USA

    Giles R. Scuderi M.D.

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© 1995 Springer-Verlag New York Inc.

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Hillsgrove, D.C., Paulos, L.E. (1995). Complications of Patellofemoral Surgery. In: Scuderi, G.R. (eds) The Patella. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4188-1_14

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  • DOI: https://doi.org/10.1007/978-1-4612-4188-1_14

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8691-2

  • Online ISBN: 978-1-4612-4188-1

  • eBook Packages: Springer Book Archive

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