title: Patellofemoral arthroplasty. 2-12-year follow-up study.
abstract: Seventy-two patellofemoral arthroplasties in 65 patients were followed an average of 4 years (range, 2-12 years). In 69 cases concomitant surgery was performed, including soft tissue realignments, tibial tubercle transfers, and unicompartmental femorotibial reconstructions. Twenty-two patients had already had knee procedures, 18 of which addressed their patellofemoral joint. The implant used in all cases features a deep, nonanatomic trochlear component. Using the Mansat scoring system, 85% of the results were good to excellent, with nearly 50% of these excellent. Fourteen complications were noted, seven related to the implant itself and seven associated with extrapatellar pathology. The authors have found patellofemoral arthroplasty to be a viable solution to end-stage patellofemoral arthritis, keeping in mind a nonforgiving surgical technique and the necessity to address all extraarticular pathology.
authors.affiliation: Clinique des Maussins, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Cartier
authors.forename: J L
authors.initials: JL
authors.lastname: Sanouiller
authors.forename: R
authors.initials: R
authors.lastname: Grelsamer
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000601:surgery*; D011183:Postoperative Complications; D011474:Prosthesis Design