The effect of an augmentation patella prosthesis versus patelloplasty on revision patellar kinematics and quadriceps tendon force: an ex vivo study.
The purpose of this study was to assess the effect of 2 revision reconstructive interventions on patellofemoral joint mechanics in comparison to control. We flexed 8 cadaver knee specimens from 0 degrees to 60 degrees of flexion in a test rig designed to simulate weight-bearing flexion and extension (Oxford rig). Quadriceps tendon extensor force and patellar kinematics were recorded for control total knee arthroplasty (TKA) (normal primary TKA with patella resurfaced) and then for each of the 2 revision patellar interventions (after patelloplasty of typical revision knee patellar bone defect to leave a simple bony shell, and after TKA with augmentation patella resurfacing). Our results demonstrate that patellar kinematics and quadriceps extensor force are optimized when the patella is reconstructed to normal anteroposterior thickness.
Department of Orthopaedics, University of British Columbia, Vancouver Hospital and Health Sciences Centre, Vancouver BC, Canada.
John
J
Mountney
David R
DR
Wilson
Michael
M
Paice
Bassam A
BA
Masri
Nelson V
NV
Greidanus
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D010329:Patella / Q000502:physiology* / Q000601:surgery*; D017847:Patellar Ligament / Q000502:physiology* / Q000601:surgery; D011474:Prosthesis Design; D052097:Quadriceps Muscle / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation / Q000379:methods*; D013314:Stress, Mechanical