Does the appearance of the patellofemoral joint at surgery influence the clinical result in medial unicompartmental knee arthroplasty?

被引:24
作者
Song, Moo-Ho [1 ]
Kim, Bu-Hwan [1 ]
Ahn, Seong-Jun [1 ]
Yoo, Seong-Ho [1 ]
Kang, Suk-Woong [1 ]
Oh, Kwan-Taek [1 ]
机构
[1] Daedong Gen Hosp, Dept Orthopaed Surg, Pusan 607711, South Korea
关键词
Unicompartmental knee arthroplasty; Patellofemoral joint; Chondrosis; Contraindication; DEGENERATIVE CHANGES; REPLACEMENT; ARTHROSIS; SURVIVAL;
D O I
10.1016/j.knee.2013.05.005
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
The purpose of this study is to investigate the likelihood of unicompartmental knee arthroplasty (UKA) in patients with chondrosis in the patellofemoral joint. We evaluated the pain and functional changes in the patellofemoral joint of 62 patients who underwent medial UKA for medial compartmental osteoarthritis with symptoms in the patellofemoral joint. They were analyzed by the patellofemoral score of Lonner at postoperative 3 months, 6 months, 1 year, and 2 years prospectively. Preoperatively, the grade by total score was poor in all 62 cases, but it was improved to 36 excellent (58%), 16 good (26%), and 10 fair (16%), and there were no poor cases at 2 years. The last follow-up showed satisfactory results in pain score, function score, and total score (p < 0.05). Regarding this result, we believe chondrosis in the patellofemoral joint is not a contraindication to UKA, even in patients with patellofemoral joint symptoms. (C) 2013 Elsevier B.V. All rights reserved.
引用
收藏
页码:457 / 460
页数:4
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