Optimizing patellofemoral arthroplasty.
Patellofemoral arthroplasty (PFA) has been an option for patients with symptomatic patellofemoral osteoarthritis since the 1950's. Many of the early failures resulted from a combination of implant design and surgeon technique. The goal of this overview is not to review the history of PFA, but rather to explore options for surgeons to optimize long-term outcomes and improve patient knee function, while highlighting the differing techniques required in PFA with those routinely adopted in total knee arthroplasty (TKA).
Farr
Jack
J
OrthoIndy Knee Care Institute, Indianapolis, IN 46237, United States. jfarr@orthoindy.com
Barrett
David
D
D019643:Arthroplasty, Replacement / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging; D020370:Osteoarthritis, Knee / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010329:Patella / Q000601:surgery*; D046788:Patellofemoral Pain Syndrome / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome