medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2019, Number 2

<< Back Next >>

Acta Ortop Mex 2019; 33 (2)

Clinical and functional evaluation of patellofemoral resurfacing arthroplasties

Gómez-Mont-Landerreche JG, Domínguez-Castro CR, Rosas-Bello CD, Gil-Orbezo FI, Villalobos-Medélez J, Flores-Carrillo A, Medina-López E

Language: Spanish
References: 24
Page: 107-111
PDF size: 137.80 Kb.


ABSTRACT

Background: The patellofemoral articulation is a biomechanical system susceptible to accelerated wear, affecting 25% of women. Currently, the treatment of osteoarthrosis Patelofermoral has resurfaced thanks to the creation of anatomical and biomechanically appropriate systems, with precise indications, earlier stages and with a better functional result. Material and methods: A cohort of 24 patients was analyzed during the period from 2010 to 2012, treated with a resurfacing prostheses HemiCap Patello Femoral Resurf (Franklin MA, USA), placed by 2 surgeons. Patients were assessed preoperatively and 2, 4, 6, 12, 18, 24 months postoperative with the Knee Society Score. Results: Twenty-four patients with follow-up of 2 years on average were included. 87.5% were women, an average age of 62 years (45-80 years); an average of 29.5 of body mass index, the right laterality predominated in 54%. An improvement in KSS scale results was observed: in clinical appearance there was an improvement of 35.2% and the functional scale 41.62%. Only two patients were revised by complications of functional limitation, treated one with manipulation under anesthesia and the other with arthroscopic adhesion lysis. Conclusion: The patellofemoral prosthesis is an option as a treatment for isolated patellofemoral arthrosis, since the two-year survival rate is good, providing pain relief and improving knee functionality; However, more follow-up time will be required to evaluate the end result of this implant.


REFERENCES

  1. McKeever DC. Patellar prosthesis. J Bone Joint Surg Am. 1955; 37-A(5): 1074-84.

  2. Grelsamer RP, Dejour D, Gould J. The pathophysiology of patellofemoral arthritis. Orthop Clin North Am. 2008; 39(3): 269-74, v.

  3. Davies AP, Vince AS, Shepstone L, Donell ST, Glasgow MM. The radiologic prevalence of patellofemoral osteoarthritis. Clin Orthop Relat Res. 2002; (402): 206-12.

  4. Blazina ME, Fox JM, Del Pizzo W, Broukhim B, Ivey FM. Patellofemoral replacement. Clin Orthop Relat Res. 1979; 144: 98-102.

  5. McAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Ann Rheum Dis. 1992; 51(7): 844-9.

  6. Saleh KJ, Arendt EA, Eldridge J, Fulkerson JP, Minas T, Mulhall KJ. Symposium. Operative treatment of patellofemoral arthritis. J Bone Joint Surg Am. 2005; 87(3): 659-71.

  7. Leadbetter WB, Ragland PS, Mont MA. The appropriate use of patellofemoral arthroplasty: an analysis of reported indications, contraindications, and failures. Clin Orthop Relat Res. 2005; 436: 91-9.

  8. Tauro B, Ackroyd CE, Newman JH, Shah NA. The Lubinus patellofemoral arthroplasty: a five-to ten-year prospective study. J Bone Joint Surg Br. 2001; 83(5): 696-701.

  9. Grelsamer RP. Patellofemoral arthroplasty. J Bone Joint Surg Am. 2006; 88(8): 1849-60.

  10. Dye SF. Patellofemoral pain current concepts: an overview. Sports Medicine and Arthroscopy Review. 2001; 9(4): 264-722.

  11. Fulkerson JP. Alternatives to patellofemoral arthroplasty. Clin Orthop Relat Res. 2005; 436: 76-80.

  12. Walker T, Perkinson B, Mihalko WM. Patellofemoral arthroplasty: the other unicompartimental knee replacement. J Bone Joint Surg Am. 2012; 94(18): 1712-20.

  13. Morris MJ, Lombardi AV Jr, Berend KR, Hurst JM, Adams JB. Clinical results of patellofemoral arthroplasty. J Arthroplasty. 2013; 28(9 Suppl): 199-201.

  14. Leadbetter WB, Seyler TM, Ragland PS, Mont MA. Indications, contraindications, and pitfalls of patellofemoral arthroplasty. J Bone Joint Surg Am. 2006; 88 Suppl 4: 122-37.

  15. Mont MA, Haas S, Mullick T, Hungerford DS. Total knee arthroplasty for patellofemoral arthritis. J Bone Joint Surg Am. 2002; 84-A(11): 1977-81.

  16. Delanois RE, McGrath MS, Ulrich SD, Marker DR, Seyler TM, Bonutti PM, Mont MA. Results of total knee replacement for isolated patellofemoral arthritis: when not to perform a patellofemoral arthroplasty. Orthop Clin North Am. 2008; 39(3): 381-8, vii.

  17. Ackroyd CE, Newman JH, Evans R, Eldridge JD, Joslin CC. The Avon patellofemoral arthroplasty: five-year survivorship and functional results. J Bone Joint Surg Br. 2007; 89(3): 310-5.

  18. Lotke PA, Lonner JH, Nelson CL. Patellofemoral arthroplasty: the third compartment. J Arthroplasty. 2005; 20(4 Suppl 2): 4-6.

  19. Leadbetter WB, Kolisek FR, Levitt RL, Brooker AF, Zietz P, Marker DR, et al. Patellofemoral arthroplasty: a multi-centre study with minimum 2-year follow-up. Int Orthop. 2009; 33(6): 1597-1601.

  20. Patel A, Haider Z, Anand A, Spicer D. Early results of patellofemoral inlay resurfacing arthroplasty using the HemiCap Wave prosthesis. J Orthop Surg (Hong Kong). 2017; 25(1): 2309499017692705. doi: 10.1177/2309499017692705. PMID: 28211301.

  21. Cartier P, Sanouiller JL, Grelsamer R. Patellofemoral arthroplasty. 2-12-year follow-up study. J Arthroplasty. 1990; 5(1): 49-55.

  22. Osarumwense D, Syed F, Nzeako O, Akilapa S, Zubair O, Waite J. Patellofemoral joint arthroplasty: early results and functional outcome of the zimmer gender solutions patello-femoral joint system. Clin Orthop Surg. 2017; 9(3): 295-302. doi: 10.4055/cios.2017.9.3.295. Epub 2017 Aug 4.

  23. Nicol SG, Loveridge JM, Weale AE, Ackroyd CE, Newman JH. Arthritis progression after patellofemoral joint replacement. Knee. 2006; 13(4): 290-5.

  24. Utting MR, Davies G, Newman JH. Is anterior knee pain a predisposing factor to patellofemoral osteoarthritis? Knee. 2005; 12(5): 362-5.




2020     |     www.medigraphic.com