Document Detail


Early patellofemoral revision following total knee arthroplasty.
MedLine Citation:
PMID:  7673906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A consecutive series of 289 Miller-Galante (Zimmer, Warsaw, IN) total knee arthroplasties were studied, with particular reference to the patellofemoral joint. Sixteen knees were initially excluded; the remaining 273 arthroplasties were followed for 14 to 44 months. Thirty patients (11%) had patellofemoral pain. Twenty patients (7.3%) had revision patellofemoral surgery. Fourteen patients had revision surgery for patellar maltracking, of which 10 had resolution of their symptoms, 2 were improved, 1 had no change, and 1 developed a prosthetic infection. Six patients who had no evidence of patellar maltracking had revision surgery with a cemented metal-backed patellar component. Only two of these patients had symptom improvement from their revision surgery. A higher than usual incidence of patellar maltracking (5%) is reported. The first-generation Miller-Galante femoral component may contribute to the relative instability of patellofemoral tracking. Those patients with patellar maltracking were greatly improved by revision surgery; the results of revision surgery for anterior knee pain without associated patellar maltracking were disappointing.
Authors:
D G Campbell; A D Mintz; T M Stevenson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of arthroplasty     Volume:  10     ISSN:  0883-5403     ISO Abbreviation:  J Arthroplasty     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-10-13     Completed Date:  1995-10-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8703515     Medline TA:  J Arthroplasty     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  287-91     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Queen Elizabeth Hospital, Adelaide, South Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Femur
Humans
Knee Joint / surgery*
Knee Prosthesis*
Male
Middle Aged
Patella
Postoperative Complications*
Reoperation
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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