Patellar Meniscus in Total Knee Arthroplasty
| Autor: | Daniel A. Sheldon, David S. Hungerford, Michele D’Apuzzo, David J. Lee, Kenneth A. Krackow, Victor Hugo Hernandez, Carlos J. Lavernia |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male musculoskeletal diseases Dense connective tissue Total knee arthroplasty Patellar surface Meniscus (anatomy) Coated Materials Biocompatible Materials Testing medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee Aged Aged 80 and over Orthodontics Microscopy Granuloma business.industry Synovial Membrane Patellar tilt Patella Middle Aged musculoskeletal system Fibrosis Additional research medicine.anatomical_structure Polyethylene Female Surgery Implant Knee Prosthesis business human activities |
| Zdroj: | The Journal of Knee Surgery. 20:142-146 |
| ISSN: | 1938-2480 1538-8506 |
| DOI: | 10.1055/s-0030-1248033 |
| Popis: | Twenty-four clinically successful, autopsy retrieved porous-coated anatomic total knee arthroplasty (TKA) specimens were evaluated to determine the structure and function of the patellar meniscus. Mean implant duration was 76 months (range: 11-135 months). Histological examination showed the patellar meniscus to be composed of dense fibrous tissue with scattered regions of chronic granulomatous response to polyethylene debris. Patellar wear and polyethylene exposed patellar surface area were correlated with implant duration (r = 0.47, P = .03; r = 0.52, P = .06). Postoperative patellar tilt was also associated with patellar component wear (r = 0.64, P = .03). No other clinical measures were significantly associated with patellar wear or exposed surface area. Additional research is needed to determine what role, if any, the patellar meniscus plays in TKA outcomes. |
| Databáze: | OpenAIRE |
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