Patellofemoral Replacement With Tibial Tubercle Osteotomy
Patellofemoral arthritis that is due to patellofemoral instability or chronic patellofemoral maltracking can be a difficult treatment problem. Isolated patellofemoral arthroplasty (PFA) is a good option that preserves bone and can more accurately reproduce native kinematics when compared with total...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-01-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720302504 |
| _version_ | 1818664847710093312 |
|---|---|
| author | John E. Arvesen, M.D. Douglas J. Wyland, M.D. |
| author_facet | John E. Arvesen, M.D. Douglas J. Wyland, M.D. |
| author_sort | John E. Arvesen, M.D. |
| collection | DOAJ |
| description | Patellofemoral arthritis that is due to patellofemoral instability or chronic patellofemoral maltracking can be a difficult treatment problem. Isolated patellofemoral arthroplasty (PFA) is a good option that preserves bone and can more accurately reproduce native kinematics when compared with total knee arthroplasty. Newer PFA designs have demonstrated improved survivorship, although survivorship has not shown equivalence with total knee replacement. It has been postulated that improving patellar tracking could potentially improve overall outcomes and survivorship for PFA. It follows then that optimizing patellar tracking in patients with patellofemoral malalignment by adding a tibial tubercle osteotomy to a PFA may improve the ultimate outcome of the procedure. The objective of this technical note is to describe our preferred method for the treatment of patients with chronic patellofemoral lateral tracking and end-stage arthritis. |
| first_indexed | 2024-12-17T05:39:15Z |
| format | Article |
| id | doaj.art-b621a3ed4c6442d3a026fed572f47377 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-17T05:39:15Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-b621a3ed4c6442d3a026fed572f473772022-12-21T22:01:30ZengElsevierArthroscopy Techniques2212-62872021-01-01101e67e72Patellofemoral Replacement With Tibial Tubercle OsteotomyJohn E. Arvesen, M.D.0Douglas J. Wyland, M.D.1Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, Greenville, South Carolina, U.S.A.Address correspondence to Douglas J. Wyland, M.D., Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, 200 Patewood Dr., Suite C100, Greenville, SC 29615.; Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, Greenville, South Carolina, U.S.A.Patellofemoral arthritis that is due to patellofemoral instability or chronic patellofemoral maltracking can be a difficult treatment problem. Isolated patellofemoral arthroplasty (PFA) is a good option that preserves bone and can more accurately reproduce native kinematics when compared with total knee arthroplasty. Newer PFA designs have demonstrated improved survivorship, although survivorship has not shown equivalence with total knee replacement. It has been postulated that improving patellar tracking could potentially improve overall outcomes and survivorship for PFA. It follows then that optimizing patellar tracking in patients with patellofemoral malalignment by adding a tibial tubercle osteotomy to a PFA may improve the ultimate outcome of the procedure. The objective of this technical note is to describe our preferred method for the treatment of patients with chronic patellofemoral lateral tracking and end-stage arthritis.http://www.sciencedirect.com/science/article/pii/S2212628720302504 |
| spellingShingle | John E. Arvesen, M.D. Douglas J. Wyland, M.D. Patellofemoral Replacement With Tibial Tubercle Osteotomy Arthroscopy Techniques |
| title | Patellofemoral Replacement With Tibial Tubercle Osteotomy |
| title_full | Patellofemoral Replacement With Tibial Tubercle Osteotomy |
| title_fullStr | Patellofemoral Replacement With Tibial Tubercle Osteotomy |
| title_full_unstemmed | Patellofemoral Replacement With Tibial Tubercle Osteotomy |
| title_short | Patellofemoral Replacement With Tibial Tubercle Osteotomy |
| title_sort | patellofemoral replacement with tibial tubercle osteotomy |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720302504 |
| work_keys_str_mv | AT johnearvesenmd patellofemoralreplacementwithtibialtubercleosteotomy AT douglasjwylandmd patellofemoralreplacementwithtibialtubercleosteotomy |