Patellar Nonresurfacing in Total Knee Arthroplasty
Journal of the Korean Knee Society
;
: 94-99, 2004.
Artigo
em Coreano
| WPRIM
| ID: wpr-730633
ABSTRACT
PURPOSE:
The management of the patella in total knee arthroplasty is still controversy. The purpose of this study was to evaluate clinical and radiological results after total knee arthroplasty without patellar resurfacing. MATERIALS ANDMETHODS:
We retrospective evaluated the nonresurfaced patella in 50 Knees(45 patients) at an average of 65.5 months after total knee arthroplasty(Duracon (R), Howmedica, Rutherford, NJ). Patients were diagnosed as osteoarthritis in 45 and rheumatoid arthritis in 3 and the others were osteonecrosis and evaluated using the knee society knee score, functional knee score and modified patellar score.RESULTS:
The mean preoperative knee society knee score in osteoarthritis and rheumatoid arthritis were 58.2 and 36.7 points, and functional score were 35.8 and 34 points. The mean postoperative knee society knee score in osteoarthritis and rheumatoid arthritis were 94.5 and 91.2 points, and functional score were 73.2 and 81 points and the mean modified patellar score was 28.5 points, and 26 cases(52%) were excellent(30-35 points), 18 cases(36%) were good(25-29 points) and 6 cases(12%) were fair(20-24 points). There were no patella-associated complications and in 8 cases(16%) of anterior knee pain, which resolved by a postoperative 4.1 months with conservative treatment.CONCLUSION:
Total knee arthroplasty with patelloplasty, without patellar resurfacing , provided satisfactory results without significant problems, and can avoid the patellar complications. But long term radiological and clinical follow-up is recommended.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osteoartrite
/
Osteonecrose
/
Patela
/
Artrite Reumatoide
/
Artroplastia
/
Estudos Retrospectivos
/
Seguimentos
/
Joelho
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Knee Society
Ano de publicação:
2004
Tipo de documento:
Artigo
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