Lateral Patellar Facetectomy Had Improved Clinical Results in Patients With Patellar-Retaining Total Knee Arthroplasty

被引:24
作者
Zhang, Li-Zhi [2 ]
Zhang, Xian-Long [1 ]
Jiang, Yao [1 ]
Wang, Qi [1 ]
Chen, Yun-Su [1 ]
Shen, Hao [1 ]
机构
[1] Tongji Univ, ShangHai Peoples Hosp 6, Dept Orthoped Surg, 600 YiShan Rd, Shanghai 200233, Peoples R China
[2] Tongji Univ, YangPu Hosp, ShangHai YangPu Dist Cent Hosp, Dept Orthoped Surg, Shanghai 200092, Peoples R China
关键词
patellar facetectomy; total knee arthroplasty (TKA); patellar retaining; Knee Society Score (KSS); patellofemoral osteoarthritis; OSTEOARTHRITIC SUBCHONDRAL BONE; PATELLOFEMORAL JOINT; UNRESURFACED PATELLA; FOLLOW-UP; CONTACT; REPLACEMENT; MODULATION; EXPRESSION; ARTHRITIS; TRACKING;
D O I
10.1016/j.arth.2011.12.018
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
100224 [整形外科学];
摘要
To evaluate the functional outcome of a partial lateral facetectomy in patellar-retaining total knee arthroplasty (TKA), we retrospectively analyzed 63 knees of 59 patients who underwent TKA for primary knee osteoarthritis with (32 knees of 30 patients, group 1) or without (31 knees of 29 patients, group 2) patellar facetectomy from September 2005 to July 2007. All cases were followed up for a minimum of 36 months. Although there was no significant differences between the 2 groups in preoperative patellar score, Western Ontario and McMaster Universities score, knee and function scores, postoperatively, group 1 showed more significant improvements in the scores and fewer lateral patellar osteophytes in radiographs than group 2. A partial lateral facetectomy is an effective way to improve the function of patellar-retaining TKA in patients with primary osteoarthritis.
引用
收藏
页码:1442 / 1447
页数:6
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