Patellofemoral arthritis resulting from malalignment. A long-term evaluation of treatment options.
This study examines and compares three treatment options for patellofemoral arthritis resulting from patellofemoral malalignment: longitudinal semipatellectomy, total patellectomy, and a modified Trillat procedure. Patients returned for examination in a 3- to 12-year follow-up period. Results from longitudinal semipatellectomy were unsatisfactory, with a reoperation and failure rate of 70%. Good long-term effects were found with total patellectomy (87% good or excellent). The modified Trillat procedure was effective in preventing recurrent dislocation (94%); however, the procedure was less effective in relieving anterior knee pain (65% good or excellent). A satisfactory solution remains to be found.
Weaver
J K
JK
University of Colorado Health Sciences Center, Glenwood Springs.
Wieder
D
D
Derkash
R S
RS
D005500:Follow-Up Studies; D007592:Joint Diseases / Q000150:complications; D007719:Knee Joint; D010003:Osteoarthritis / Q000209:etiology* / Q000601:surgery; D010329:Patella / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D013514:Surgical Procedures, Operative / Q000379:methods