title: Partial lateral patellar facetectomy as an alternative to lateral release in Total Knee Arthroplasty (TKA).
abstract: This study presents the selective use of partial patellar lateral facetectomy for maltracking during primary TKA, as an alternative to lateral release. Twenty three partial facetectomies were performed out of 191 TKAs (12%). Balanced tracking was achieved in 22 knees. At follow-up 2 patients had persistent anterior knee pain. Mean Knee Society score (KSS) was 94 and mean functional KSS was 86. Mean patellar score was 28. Patellar tilt angles were within 2 degrees in all but one knee. Patellar translation was within 2 mm in all cases. No complications were recorded. A control group of 46 matched patients had similar functional and radiographic results. If tracking is not satisfactory at the conclusion of TKA, our method of choice would be partial lateral facetectomy.
authors: Orthopaedic Department, E. Wolfson Medical Center, Holon, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: Dror
authors: D
authors: Lakstein
authors: Orthopaedic Department, E. Wolfson Medical Center, Holon, Israel.
authors: Muhammad
authors: M
authors: Naser
authors: Orthopaedic Department, E. Wolfson Medical Center, Holon, Israel.
authors: Eliyahu
authors: E
authors: Adar
authors: Orthopaedic Department, Barzilai Medical Center, Ashkelon, Israel; Faculty of Medicine, Ben-Gurion University, Beer-Sheva, Israel.
authors: Ehud
authors: E
authors: Atoun
authors: Orthopaedic Department, E. Wolfson Medical Center, Holon, Israel.
authors: Alexander
authors: A
authors: Edelman
authors: Orthopaedic Department, E. Wolfson Medical Center, Holon, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors: David
authors: D
authors: Hendel
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000601:surgery*
keywords: facetectomy; lateral release; maltracking; patellar tracking; total knee arthroplasty