title: Short Term Outcomes of a Hydroxyapatite Coated Metal Backed Patella.
abstract: We retrospectively evaluated the records and radiographs of 101 knees with a hydroxyapatite coated metal backed patella (HAP) and 50 knees with a cemented polyethylene patella (CP) with minimum two year clinical follow up. There were no patellar revisions during the study period. Patients in both the HAP and CP groups had similar clinical outcomes at final follow-up. Forty-five percent of patients in the HAP group had 1-2mm areas of decreased trabecular bone density around the pegs, which were not observed in the CP group, and may represent stress shielding. This uncemented HAP component has satisfactory early clinical outcomes, but long-term follow up is necessary to determine the durability of this implant.
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Scott R
authors.initials: SR
authors.lastname: Nodzo
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Donald W
authors.initials: DW
authors.lastname: Hohman
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Allison S
authors.initials: AS
authors.lastname: Hoy
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Mary
authors.initials: M
authors.lastname: Bayers-Thering
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Sonja
authors.initials: S
authors.lastname: Pavlesen
authors.affiliation: University at Buffalo Department of Orthopedics Buffalo, New York.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Phillips
mesh_terms: D000328:Adult; D001168:Arthritis / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee; D020099:Coated Materials, Biocompatible; D017886:Durapatite; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008670:Metals; D008875:Middle Aged; D010329:Patella / Q000601:surgery*; D020959:Polyethylene; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012189:Retrospective Studies
chemical_list: D020099:Coated Materials, Biocompatible; D008670:Metals; D020959:Polyethylene; D017886:Durapatite
keywords: cementless; clinical outcomes; hydroxyapatite; patella; primary total knee arthroplasty