Resection arthroplasty for failed patellar components View Full Text


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Article Info

DATE

2008-10-28

AUTHORS

Carlos J. Lavernia, Jose C. Alcerro, Michael K. Drakeford, Audrey K. Tsao, Kenneth A. Krackow, David S. Hungerford

ABSTRACT

A total of 1,401 primary total knee arthroplasties (TKA) were reviewed; 44 (3.2%) had at least the patellar component revised. Nine of these knees (eight patients) had insufficient bone stock to allow reimplantation of another patellar component. Clinical data on the nine knees were obtained with recent follow-up evaluation, review of their medical records and radiographs. Evaluation included Hospital for Special Surgery (HSS) scores. Average follow-up was 4 years and 7 months, 2-year range (2 months to 8 years and 4 months). Common factors found in these nine knees included: thin patella after primary TKR status, osteoarthritis, good range of motion and patella alta. Results were good to excellent in seven knees and fair in two. The untoward associations with patellectomy such as quadriceps lag, extension weakness and anterior knee pain were not experienced. Resection of the patellar component, without reimplantation, is an acceptable alternative in revision TKA lacking adequate remaining bone stock. More... »

PAGES

1591

References to SciGraph publications

  • 2001-01-25. Patella resurfacing in total knee replacement: functional evaluation and complications in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2006-05-06. Total knee arthroplasty without patellar resurfacing in INTERNATIONAL ORTHOPAEDICS
  • 2006-11-21. Early mechanical failure in total knee arthroplasty in INTERNATIONAL ORTHOPAEDICS
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    http://scigraph.springernature.com/pub.10.1007/s00264-008-0674-0

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    http://dx.doi.org/10.1007/s00264-008-0674-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1015545292

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/18956182


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