Patellar osteolysis after total knee arthroplasty with patellar resurfacing: a potentially underappreciated problem
| Autor: | Mark J. Spangehl, Zachary K. Christopher, David G. Deckey, Andrew S. Chung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Osteolysis Patellofemoral complications Total knee arthroplasty Case Report Osteoarthritis 03 medical and health sciences 0302 clinical medicine Patellar resurfacing lcsh:Orthopedic surgery Female patient medicine Orthopedics and Sports Medicine 030212 general & internal medicine 030222 orthopedics business.industry Anterior knee pain Implant failure Disappearing patella medicine.disease musculoskeletal system Surgery lcsh:RD701-811 Patella business human activities |
| Zdroj: | Arthroplasty Today Arthroplasty Today, Vol 5, Iss 4, Pp 435-441 (2019) |
| ISSN: | 2352-3441 |
| Popis: | Osteolysis of the patella following total knee arthroplasty is both uncommon and poorly described in the literature. We describe 3 cases of total knee arthroplasty with patella resurfacing that later presented with anterior knee pain with patellar osteolysis without evidence of patellar implant failure: 2 males and 1 female patient, all with bilateral knee osteoarthritis. Osteolysis of the patella was identified radiographically between 2 and 16 years from the index procedure. We theorize that high pressures across the patella-femoral joint, in obese or muscular patients, may play a role in the formation of these patellar osteolytic lesions. We suspect that the prevalence of this phenomenon is under-recognized in the literature and may increase with longer term follow-up and awareness. Keywords: Total knee arthroplasty, Osteolysis, Disappearing patella, Patellar resurfacing, Patellofemoral complications |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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