Anteromedialization of the tibial tubercle for patellofemoral arthritis in patients > 50 years.
This is a retrospective study of one surgeon's experience performing anteromedialization of the tibial tubercle for the treatment of isolated patellofemoral arthritis in active older patients. Patients were included if they were > 50 years at the time of the surgery and had a minimum follow-up of 2 years. Outerbridge classifications were documented by arthroscopy, and patellofemoral alignment was evaluated clinically and radiographically. Lysholm and Fern pain scores were obtained via mailed questionnaire or phone survey. A total of 22 anteromedialization procedures were performed on 17 patients who met the inclusion criteria; 82% of patients completed the followup survey. Mean age was 55 years. Mean follow-up was 77 months. Mean postoperative Lysholm score was 83. Based on Lysholm scores, there were 12 good to excellent, 6 fair, and 1 poor outcomes. Anteromedialization of the tibial tubercle is a definitive treatment option for isolated patellofemoral arthritis in active older patients.
Carofino
Brad C
BC
Department of Orthopaedic Surgery, University of Connecticut, Medical Arts and Research Building, 263 Farmington Ave, Farmington, CT 06030-5456, USA.
Fulkerson
John P
JP
D000367:Age Factors; D000368:Aged; D001168:Arthritis / Q000601:surgery*; D001178:Arthroplasty / Q000379:methods*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D010329:Patella; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome