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The Failed Patella. What Can We Do?

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Anterior Knee Pain and Patellar Instability

Abstract

The title of this chapter has been borrowed from the world of spinal surgery (“The Failed Spine”). It is a term that we are going to use to describe the situation of those patients who did not have a successful outcome after a surgery that was carried out to resolve Anterior knee pain (AKP).

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References

  1. Steinkamp LA, Dillingham MF, Markel MD, et al. Biomechanical considerations in patellofemoral joint rehabilitation. Am J Sports Med. 1993;21:438–44.

    Article  CAS  PubMed  Google Scholar 

  2. Sigmund KJ, Hoeger Bement MK, Earl-Boehm JE. Exploring the pain in patellofemoral pain: a systematic review and meta-analysis examining signs of central sensitization. J Athl Train. 2021;56(8):887–901.

    Article  PubMed  Google Scholar 

  3. Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2.

    Article  PubMed  Google Scholar 

  4. Schuttert I, Timmerman H, Petersen KK, et al. The definition, assessment, and prevalence of (human assumed) central sensitisation in patients with chronic low back pain: a systematic review. J Clin Med. 2021;10(24):5931.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Neblett R, Hartzell MM, Cohen H, et al. Ability of the central sensitization inventory to identify central sensitivity syndromes in an outpatient chronic pain sample. Clin J Pain. 2015;31:323–32.

    Article  PubMed  Google Scholar 

  6. Mayer TG, Neblett R, Cohen H, et al. The development and psychometric validation of the Central Sensitization Inventory (CSI). Pain Pract. 2012;12(4):276–85.

    Article  PubMed  Google Scholar 

  7. Sanchis-Alfonso V, Domenech-Fernandez J, Beser-Robles M, et al. Influence of central sensitization on pain, disability and psychological impairment in anterior knee pain patients. A prospective cross-sectional observational study. (In press).

    Google Scholar 

  8. Agarwalla A, Liu JN, Wu HH, et al. Return to work following tibial tubercle osteotomy for patellofemoral osteoarthritis and pain [published online April 22, 2020]. Cartilage. 1947603520916544.

    Google Scholar 

  9. Domenech J, Sanchis-Alfonso V, Espejo-Tort B. Influence of kinesiophobia and catastrophizing on pain and disability in anterior knee pain patients. Knee Surg Sports Traumatol Arthrosc. 2013;21:1562–8.

    Article  PubMed  Google Scholar 

  10. Domenech J, Sanchis-Alfonso V, Espejo-Tort B. Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2295–300.

    Article  PubMed  Google Scholar 

  11. Sanchis-Alfonso V, Merchant AC. Iatrogenic medial patellar instability: an avoidable injury. Arthroscopy. 2015;31(8):1628–32.

    Article  PubMed  Google Scholar 

  12. Sanchis-Alfonso V, Montesinos-Berry E, Monllau JC, et al. Results of isolated lateral retinacular reconstruction for iatrogenic medial patellar instability. Arthroscopy. 2015;31(3):422–7.

    Article  PubMed  Google Scholar 

  13. Fulkerson JP. A clinical test for medial patella tracking. Tech Orthop. 1997;12:165–9.

    Article  Google Scholar 

  14. Teitge RA, Faerber WW, Des MP. Stress radiographs of the patellofemoral joint. J Bone Joint Surg Am. 1996;78:193–203.

    Article  CAS  PubMed  Google Scholar 

  15. Biedert RM. Computed tomography examination. In: Biedert RM, ed. Patellofemoral disorders. Diagnosis and treatment. West Sussex: Wiley, 2004;101–111.

    Google Scholar 

  16. Kelman GJ, Focht L, Krakauer JD, et al. A cadaveric study of patellofemoral kinematics using a biomechanical testing rig and gait laboratory motion analysis. Orthop Trans. 1989;13:248–9.

    Google Scholar 

  17. Teitge RA, Torga SR. Lateral patellofemoral ligament reconstruction. Arthroscopy. 2004;20:998–1002.

    Article  PubMed  Google Scholar 

  18. Sanchis-Alfonso V, Montesinos-Berry E, Monllau JC, et al. Deep transverse lateral retinaculum reconstruction for medial patellar instability. Arthrosc Tech. 2015;4(3):e245-249.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Weale AE, Murray DW, Newman JH, et al. The length of the patellar tendon after unicompartmental and total knee replacement. J Bone Joint Surg Br. 1999;81(5):790–5.

    Article  CAS  PubMed  Google Scholar 

  20. Caton J, Deschamps G, Chambat P, et al. Patella infera. Apropos of 128 cases. Rev Chir Orthop Reparat- rice Appar Mot. 1982;68(5):317–325.

    Google Scholar 

  21. Caton J. Method of measuring the height of the patella. Acta Orthop Belg. 1989;55:385–6.

    CAS  PubMed  Google Scholar 

  22. Drexler M, Dwyer T, Marmor M, et al. The treatment of acquired patella baja with proximalization of the tibial tuberosity: surgical technique and six-year clinical outcome. Arthroscopy. 2013;29: e155.

    Article  Google Scholar 

  23. Dejour D, Levigne C, Dejour H. Postoperative low patella. Treatment by lengthening of the patellar tendon. Rev Chir Orthop Reparatrice Appar Mot 1995;81: 286–295.

    Google Scholar 

  24. Burnett SJ, Berger RA, Paprosky WG, et al. Extensor mechanism allograft reconstruction after total knee arthroplasty. A comparison of two techniques. J Bone Joint Surg Am. 2004;86(12):2694–2699.

    Google Scholar 

  25. Flandry F, Hughston JC. Complications of extensor mechanism surgery for patellar malalignment. Am J Orthop (Belle Mead NJ). 1995;24(7):534–43.

    CAS  PubMed  Google Scholar 

  26. Paulos L, Swanson SC, Stoddard GJ, et al. Surgical correction of limb malalignment for instability of the patella: a comparison of 2 techniques. Am J Sports Med. 2009;37(7):1288–300.

    Article  PubMed  Google Scholar 

  27. Stevens PM, Gililland JM, Anderson LA, et al. Success of torsional correction surgery after failed surgeries for patellofemoral pain and instability. Strategies Trauma Limb Reconstr. 2014;9(1):5–12.

    Article  PubMed  Google Scholar 

  28. Drexler M, Dwyer T, Dolkart O, et al. Tibial rotational osteotomy and distal tuberosity transfer for patella subluxation secondary to excessive external tibial torsion: surgical technique and clinical outcome. Knee Surg Sports Traumatol Arthrosc. 2014;22(11):2682–9.

    Article  CAS  PubMed  Google Scholar 

  29. Franciozi CE, Ambra LF, Albertoni LJ, et al. Increased femoral anteversion influence over surgically treated recurrent patellar instability patients. Arthroscopy. 2017;33(3):633–40.

    Article  PubMed  Google Scholar 

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Correspondence to Vicente Sanchis-Alfonso .

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Sanchis-Alfonso, V., Domenech-Fernandez, J., Teitge, R.A. (2023). The Failed Patella. What Can We Do?. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_10

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

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