title: Patellar tendon length after knee arthroplasty with and without preservation of the infrapatellar fat pad.
abstract: Our aim was to assess whether there was any significant difference in change in patellar tendon length after knee arthroplasty, when the infrapatellar fat pad was either preserved or excised. Three-year radiographic follow-up was studied on 73 primary knee arthroplasty patients. The infrapatellar fat pad was completely preserved in 38 cases and completely excised in 35. At 3 years there was a significant patellar tendon shortening of 4.2% (P = .0004) in the fat pad excision group and no significant change in the fat pad preservation group (P = .82). The difference between the 2 groups was significant (P = .004). Our results show that patella tendon length does not always shorten after knee arthroplasty and that preservation of the infrapatellar fat pad may be a factor in preventing such shortening.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Worthing Hospital, Lyndhurst Road, BN11 2DH West Sussex, United Kingdom.
authors.forename: Michael
authors.initials: M
authors.lastname: Lemon
authors.forename: Iain
authors.initials: I
authors.lastname: Packham
authors.forename: Kush
authors.initials: K
authors.lastname: Narang
authors.forename: David M
authors.initials: DM
authors.lastname: Craig
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D020370:Osteoarthritis, Knee / Q000601:surgery; D017847:Patellar Ligament / Q000033:anatomy & histology*; D013997:Time Factors