A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty
One of the contraindications to patella resurfacing in total knee arthroplasty is a thin and severely eroded ‘deficient’ patella. However, such patients often present with severe patellofemoral joint arthritis, patellar lateral subluxation, and patella maltracking, which can only be treated effectiv...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344123001644 |
| _version_ | 1827400271878160384 |
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| author | Glenys Poon, MBBS, MRCSEd Wei Ming Siow, BSc, MBBS, M Med, FRCSEd (Orthopaedic), FAMS Kein Boon Poon, MD, MSc Orthopaedic, FAMS, MD, MSc Orthopaedic, FAMS |
| author_facet | Glenys Poon, MBBS, MRCSEd Wei Ming Siow, BSc, MBBS, M Med, FRCSEd (Orthopaedic), FAMS Kein Boon Poon, MD, MSc Orthopaedic, FAMS, MD, MSc Orthopaedic, FAMS |
| author_sort | Glenys Poon, MBBS, MRCSEd |
| collection | DOAJ |
| description | One of the contraindications to patella resurfacing in total knee arthroplasty is a thin and severely eroded ‘deficient’ patella. However, such patients often present with severe patellofemoral joint arthritis, patellar lateral subluxation, and patella maltracking, which can only be treated effectively with resurfacing. While various treatments have been proposed, options remain limited.Here we introduce a method of patella reconstruction using four 2.7-mm titanium cortical screws crossing each other into the inner shell of the patella. This provides a scaffold onto which bone cement and any standard polyethylene patellar component can be fixed. Postoperatively, the patient had no anterior knee pain, no patella maltracking, and no component loosening.Advantages of this technique include minimization of extensor disruption, low costs, easy accessibility, reproducibility, and improved mechanical strength. |
| first_indexed | 2024-03-08T19:59:37Z |
| format | Article |
| id | doaj.art-e4fe8801e95e49699cd1e87d1f7d075b |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-03-08T19:59:37Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-e4fe8801e95e49699cd1e87d1f7d075b2023-12-24T04:45:47ZengElsevierArthroplasty Today2352-34412023-12-0124101259A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee ArthroplastyGlenys Poon, MBBS, MRCSEd0Wei Ming Siow, BSc, MBBS, M Med, FRCSEd (Orthopaedic), FAMS1Kein Boon Poon, MD, MSc Orthopaedic, FAMS, MD, MSc Orthopaedic, FAMS2Department of Orthopaedic Surgery, National University Hospital, Singapore, Singapore; Corresponding author. Department of Orthopaedic Surgery, National University Hospital, 1E Kent Ridge Road, Singapore 119228. Tel.: +65 97565039.Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore, SingaporeDepartment of Orthopaedic Surgery, Sengkang General Hospital, Singapore, SingaporeOne of the contraindications to patella resurfacing in total knee arthroplasty is a thin and severely eroded ‘deficient’ patella. However, such patients often present with severe patellofemoral joint arthritis, patellar lateral subluxation, and patella maltracking, which can only be treated effectively with resurfacing. While various treatments have been proposed, options remain limited.Here we introduce a method of patella reconstruction using four 2.7-mm titanium cortical screws crossing each other into the inner shell of the patella. This provides a scaffold onto which bone cement and any standard polyethylene patellar component can be fixed. Postoperatively, the patient had no anterior knee pain, no patella maltracking, and no component loosening.Advantages of this technique include minimization of extensor disruption, low costs, easy accessibility, reproducibility, and improved mechanical strength.http://www.sciencedirect.com/science/article/pii/S2352344123001644Total knee arthroplastyPatella defectPatella resurfacingReconstructionCement augmentation |
| spellingShingle | Glenys Poon, MBBS, MRCSEd Wei Ming Siow, BSc, MBBS, M Med, FRCSEd (Orthopaedic), FAMS Kein Boon Poon, MD, MSc Orthopaedic, FAMS, MD, MSc Orthopaedic, FAMS A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty Arthroplasty Today Total knee arthroplasty Patella defect Patella resurfacing Reconstruction Cement augmentation |
| title | A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty |
| title_full | A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty |
| title_fullStr | A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty |
| title_full_unstemmed | A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty |
| title_short | A Crossed Screw Patellar Reconstruction Technique for the Treatment of the Severely Deficient Scaphoid Shaped Patella in Total Knee Arthroplasty |
| title_sort | crossed screw patellar reconstruction technique for the treatment of the severely deficient scaphoid shaped patella in total knee arthroplasty |
| topic | Total knee arthroplasty Patella defect Patella resurfacing Reconstruction Cement augmentation |
| url | http://www.sciencedirect.com/science/article/pii/S2352344123001644 |
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