| Autor: |
Neal B, Naveen, Evan R, Deckard, Mary, Ziemba-Davis, Logan F, Hanson, Lucian C, Warth, R Michael, Meneghini |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
The Knee. 34:167-177 |
| ISSN: |
0968-0160 |
| Popis: |
The focus of patella maltracking after total knee arthroplasty (TKA) has traditionally been on patella polyethylene damage and failure mechanisms rather than functional outcomes. The purpose of this study was to evaluate the effect of patellar tilt on patient reported outcomes (PROMS) after primary TKA performed with patellar resurfacing.A retrospective review using a single implant design was performed. Patella tilt was radiographically measured according to a standardized protocol. PROMS related to pain, function, and satisfaction were evaluated preoperatively and at minimum 1-year follow-up.A total of 468 TKAs were included for analysis. Mean age and BMI were 64 years and 35 kg/mThe range of patellar tilt studied in this cohort had little to no effect on PROMS. However, suboptimal patellar tracking may potentiate edge loading of the polyethylene and contribute to implant damage in the long-term. These results are helpful to focus efforts on the tibiofemoral articulation as the predominant determinant of patient outcomes. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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