Results of total knee replacement for isolated patellofemoral arthritis: When not to perform a patellofemoral arthroplasty

被引:43
作者
Delanois, Ronald E. [1 ]
McGrath, Mike S. [1 ]
Ulrich, Slif D. [1 ]
Marker, David R. [1 ]
Seyler, Thorsten M. [1 ]
Bonutti, Peter M. [2 ]
Mont, Michael A. [1 ]
机构
[1] Sinai Hosp, Ctr Joint Preservat & Reconstruct, Rubin Inst Adv Orthoped, Baltimore, MD 21215 USA
[2] Bonutti Clin, Effingham, IL 62401 USA
关键词
D O I
10.1016/j.ocl.2008.03.003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Many procedures have been used to treat advanced isolated patellofemoral arthritis, with varying results. Patellofemoral arthroplasty (PFA) is a bone-conserving procedure that has shown short-term success but has relatively high revision rates. Total knee arthroplasty (TKA) has been recommended for treatment of this disease in patients who are older than 60 years of age. Recent literature indicates that PFA is most successful in patients who have isolated patellofemoral arthritis secondary to trochlear dysplasia or patellar fracture and in patients who are younger than 60 years; TKA is recommended for older patients who have primary or idiopathic isolated patellofemoral arthritis.
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页码:381 / +
页数:9
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