The Use of Computer-Assisted Surgery During Patellofemoral Arthroplasty

Chapter

Abstract

During total knee arthroplasty (TKA), the patellofemoral joint (PFJ) has a tendency to be considered as an afterthought despite the fact that the patella and trochlea of the femur are frequently involved in certain patterns of knee osteoarthritis and deformity. Indeed, the PFJ in arthroplasty is a well-documented source of complications including subluxations, dislocations, tilts and impingements which are associated with pain and poor function [8, 30]. Such issues should therefore not be dismissed lightly (Fig. 15.1). Archibeck et al. [3] found that patellar tilt or subluxation occurred in 45 % of primary TKAs. Baldini et al. [4] reported high rates of pain and fracture when patellar issues were ignored.

Keywords

Total Knee Arthroplasty Femoral Component Mechanical Axis Patellofemoral Joint Trochlear Groove 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Amis AA, Senavongse W, Bull AMJ (2006) Patellofemoral kinematics during knee flexion-extension – an in-vitro study. J Orthop Res 24:2201–2211CrossRefPubMedGoogle Scholar
  2. 2.
    Anglin C, Ho KC, Briard JL, de Lambilly C, Plaskos C, Nodwell E, Stindel E (2008) In vivo patellar kinematics during total knee arthroplasty. Comput Aided Surg 13:377–391CrossRefPubMedGoogle Scholar
  3. 3.
    Archibeck MJ, Camarata D, Trauger J, Allman J, White RE Jr (2003) Indications for lateral retinacular release in total knee replacement. Clin Orthop Relat Res 414:157–161CrossRefPubMedGoogle Scholar
  4. 4.
    Baldini A, Anderson JA, Cerulli-Mariani P, Kalyvas J, Pavlov H, Sculco TP (2007) Patellofemoral evaluation after total knee arthroplasty. Validation of a new weight-bearing axial radiographic view. J Bone Joint Surg Am 89(8):1810–1817CrossRefPubMedGoogle Scholar
  5. 5.
    Baldwin JL (2009) The anatomy of the medial patellofemoral ligament. Am J Sports Med 37:2355–2361CrossRefPubMedGoogle Scholar
  6. 6.
    Belvedere C, Catani F, Ensini A, Moctezuma de la Barrera JL, Leardini A (2007) Patellar tracking during total knee arthroplasty: an in vitro feasibility study. Knee Surg Sports Traumatol Arthrosc 15:985–993CrossRefPubMedGoogle Scholar
  7. 7.
    Bicos J, Fulkerson JP, Amis A (2007) Current concepts review: the medial patellofemoral ligament. Am J Sports Med 35:484–492CrossRefPubMedGoogle Scholar
  8. 8.
    Briard JL, Hungerford DS (1989) Patellofemoral instability in total knee arthroplasty. J Arthroplasty 4(Suppl):S87–S97CrossRefPubMedGoogle Scholar
  9. 9.
    Chia SL, Merican AM, Devadasan B, Strachan RK, Amis AA (2009) Radiographic features predictive of patellar maltracking during total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 17:1217–1224CrossRefPubMedGoogle Scholar
  10. 10.
    Cho WS, Woo JH, Park HY, Youm YS, Kim BK (2011) Should the ‘no thumb technique’ be the golden standard for evaluating patellar tracking in total knee arthroplasty? Knee 18:177–179CrossRefPubMedGoogle Scholar
  11. 11.
    Christoforakis J, Bull AM, Strachan RK, Shymkiw R, Senavongse W, Amis AA (2006) Effects of lateral retinacular release on the lateral stability of the patella. Knee Surg Sports Traumatol Arthrosc 14(3):273–277CrossRefPubMedGoogle Scholar
  12. 12.
    Conlan T, Garth WP Jr, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee. J Bone Joint Surg Am 75:682–693PubMedGoogle Scholar
  13. 13.
    Cook JL, Scuderi GR, Tenholder M (2006) Incidence of lateral release in total knee arthroplasty in standard and mini-incision approaches. Clin Orthop Relat Res 452:123–126CrossRefPubMedGoogle Scholar
  14. 14.
    Desio SM, Burks RT, Bachus KN (1998) Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med 26:59–65PubMedGoogle Scholar
  15. 15.
    Ghosh KM, Merican AM, Iranpour F, Deehan DJ, Amis AA (2009) The effect of overstuffing the ­patellofemoral joint on the extensor retinaculum of the knee. Knee Surg Sports Traumatol Arthrosc 17:1211–1216CrossRefPubMedGoogle Scholar
  16. 16.
    Ghosh KM, Merican AM, Iranpour-Boroujeni F, Deehan DJ, Amis AA (2009) Length change patterns of the extensor retinaculum and the effect of total knee replacement. J Orthop Res 27:865–870CrossRefPubMedGoogle Scholar
  17. 17.
    Healy WL, Iorio R, Warren P (2004) Mesh expansion release of the lateral patellar retinaculum during total knee arthroplasty. J Bone Joint Surg Am 86-A(Suppl 1 (Pt 2)):193–200PubMedGoogle Scholar
  18. 18.
    Iranpour F, Merican AM, Amis AA, Cobb JP (2008) The width:thickness ratio of the patella: an aid in knee arthroplasty. Clin Orthop Relat Res 466:1198–1203CrossRefPubMedGoogle Scholar
  19. 19.
    Iranpour F, Merican AM, Dandachli W, Amis AA, Cobb JP (2010) The geometry of the trochlear groove. Clin Orthop Relat Res 468:782–788CrossRefPubMedGoogle Scholar
  20. 20.
    Iranpour F, Merican AM, Rodriguez-y-Baena F, Cobb JP, Amis AA (2010) Patellofemoral joint kinematics: the circular path of the patella. J Orthop Res 28:589–594PubMedGoogle Scholar
  21. 21.
    Jenny JY, Boeri C (2004) Low reproducibility of the intra-operative measurement of the transepicondylar axis during total knee replacement. Acta Orthop Scand 75:74–77CrossRefPubMedGoogle Scholar
  22. 22.
    Jerosch J, Peuker E, Philipps B, Filler T (2002) Interindividual reproducibility in perioperative rotational alignment of femoral components in knee prosthesis surgery using the transepicondylar axis. Knee Surg Sports Traumatol Arthrosc 10:194–197CrossRefPubMedGoogle Scholar
  23. 23.
    Katchburian MV, Bull AMJ, Shih YF, Heatley FW, Amis AA (2003) Measurement of patellar tracking: assessment and analysis of the literature. Clin Orthop Relat Res 412:241–259CrossRefPubMedGoogle Scholar
  24. 24.
    Kessler O, Patil S, Colwell CW Jr, D’Lima DD (2008) The effect of femoral component malrotation on patellar biomechanics. J Biomech 41:3332–3339CrossRefPubMedGoogle Scholar
  25. 25.
    Kusuma SK, Puri N, Lotke PA (2009) Lateral retinacular release during primary total knee arthroplasty: effect on outcomes and complications. J Arthroplasty 24:383–390CrossRefPubMedGoogle Scholar
  26. 26.
    Lachiewicz PF, Soileau ES (2006) Patella maltracking in posterior-stabilized total knee arthroplasty. Clin Orthop Relat Res 452:155–158CrossRefPubMedGoogle Scholar
  27. 27.
    Laskin RS (2001) Lateral release rates after total knee arthroplasty. Clin Orthop Relat Res 392:88–93CrossRefPubMedGoogle Scholar
  28. 28.
    Lee GC, Cushner FD, Scuderi GR, Insall JN (2004) Optimizing patellofemoral tracking during total knee arthroplasty. J Knee Surg 17:144–149PubMedGoogle Scholar
  29. 29.
    Lee DH, Seo JG, Moon YW (2008) Synchronisation of tibial rotational alignment with femoral component in total knee arthroplasty. Int Orthop 32:223–227CrossRefPubMedGoogle Scholar
  30. 30.
    Malo M, Vince KG (2003) The unstable patella after total knee arthroplasty: etiology, prevention, and management. J Am Acad Orthop Surg 11:364–371PubMedGoogle Scholar
  31. 31.
    Merican AM, Ghosh KM, Iranpour F, Deehan DJ, Amis AA (2011) The effect of femoral component rotation on the kinematics of the tibiofemoral and patellofemoral joints after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 19:1479–1487CrossRefPubMedGoogle Scholar
  32. 32.
    Pagnano MW, Trousdale RT, Stuart MJ, Hanssen AD, Jacofsky DJ (2004) Rotating platform knees did not improve patellar tracking: a prospective, randomized study of 240 primary total knee arthroplasties. Clin Orthop Relat Res 428:221–227CrossRefPubMedGoogle Scholar
  33. 33.
    Senavongse W, Amis AA (2005) The effects of articular, retinacular, or muscular deficiencies on ­patellofemoral joint stability: a biomechanical study in vitro. J Bone Joint Surg Br 87B:577–582Google Scholar
  34. 34.
    Shaw JA (2003) Patellar retinacular peel: an alternative to lateral retinacular release in total knee arthroplasty. Am J Orthop 32:189–192PubMedGoogle Scholar
  35. 35.
    Sodha S, Kim J, McGuire KJ, Lonner JH, Lotke PA (2004) Lateral retinacular release as a function of femoral component rotation in total knee arthroplasty. J Arthroplasty 19:459–463CrossRefPubMedGoogle Scholar
  36. 36.
    Strachan RK, Merican AM, Devadasan B, Maheshwari R, Amis AA (2009) A technique of staged lateral release to correct patellar tracking in total knee ­arthroplasty. J Arthroplasty 24:735–742CrossRefPubMedGoogle Scholar
  37. 37.
    Verlinden C, Uvin P, Labey L, Luyckx JP, Bellemans J,Vandenneucker H (2010) The influence of ­malrotation of the femoral component in total knee replacement on the mechanics of patellofemoral contact during gait: an in vitro biomechanical study. J Bone Joint Surg Br 92:737–742CrossRefPubMedGoogle Scholar
  38. 38.
    Weber AB, Worland RL, Jessup DE, Van Bowen J, Keenan J (2003) The consequences of lateral release in total knee replacement: a review of over 1000 knees with follow up between 5 and 11 years. Knee 10:187–191CrossRefPubMedGoogle Scholar
  39. 39.
    Yoshino N, Takai S, Ohtsuki Y, Hirasawa Y (2001) Computed tomography measurement of the surgical and clinical transepicondylar axis of the distal femur in osteoarthritic knees. J Arthroplasty 16:493–497CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2013

Authors and Affiliations

  1. 1.Imperial College NHS Trust, Charing Cross HospitalLondonUK
  2. 2.Department of Mechanical Engineering and Musculoskeletal Surgery GroupImperial College LondonLondonUK

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