title: The results of retaining a well-fixed patellar component in revision total knee arthroplasty.
abstract: The results of revision total knee arthroplasty (TKA) in which a well-fixed patellar component was left in place (retained) were compared with those in which the patellar component was revised to a cemented all-polyethylene component. The patella was retained in 34 cases, 12 of which were metal-backed, and was revised in 39 cases. Data collected on all patients included a Knee Society clinical and radiographic score, SF36, a patellofemoral questionnaire, and a satisfaction survey. There were no differences in clinical score, responses to specific patellofemoral questions, or patient satisfaction between the 2 groups. Retaining a well-fixed patellar component at the time of revision TKA appears to be a viable option with equivalent short-term results to those obtained when the patellar component is revised.
authors.affiliation: Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana 70112, USA.
authors.forename: R L
authors.initials: RL
authors.lastname: Barrack
authors.forename: C
authors.initials: C
authors.lastname: Rorabeck
authors.forename: P
authors.initials: P
authors.lastname: Partington
authors.forename: J
authors.initials: J
authors.lastname: Sawhney
authors.forename: G
authors.initials: G
authors.lastname: Engh
mesh_terms: D000328:Adult; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D010329:Patella; D017060:Patient Satisfaction; D011474:Prosthesis Design; D012086:Reoperation