Functional outcome of Total Knee replacement using traditional Patelloplasty
Abstract
Introduction: To evaluate the function of Patella following Patelloplasty in Total Knee Replacement using the Hospital for Special Surgery Patella score.
Materials and methods: This is a prospective study done on patients who have undergone Total Knee Replacement from March 2018 to March 2019. The study was done in Sri Ramachandra Medical College, Chennai, and Velammal Medical College, Madurai.
Result: In the present study Pre-op Knee, Scoring System scores were 40.92 and Functional Scores were 42.87. Postoperatively Scores increased to 87.66 and 88.24 respectively. Patella Score is 86.29. No patient had anterior knee pain and functional limitation at the end of one year. The fundamental basis of retaining the patella was that the autogenous patella may better meet the physiological and anatomical requirements and avoid complications resulting from patellar resurfacing.
Conclusion: In the present study, Patelloplasty has shown good functional results and an early pain-free range of movement.
Downloads
References
Zeni JA Jr, Axe MJ, Snyder-Mackler L. Clinical predictors of elective total joint replacement in persons with end-stage knee osteoarthritis. BMC Musculoskelet Disord. 2010;11:86. doi: 10.1186/1471-2474-11-86.
Barrack RL, Matzkin E, Ingraham R, Engh G, Rorabeck C. Revision knee arthroplasty with patella replacement versus bony shell. Clin Orthop Relat Res. 1998;356:139-143. doi: 10.1097/00003086-199811000-00020.
Montaser MG, Moustafa A. Patelloplasty without resurfacing of the patella in total knee replacement in patients without severe patellofemoral osteoarthritis. Egyptian Orthopaed J. 2015;50(4):254. doi: 10.4103/1110-1148.182311.
Schindler OS. The controversy of patellar resurfacing in total knee arthroplasty: Ibisne in medio tutissimus? Knee Surg Sports Traumatol Arthrosc. 2012;20(7):1227-1244. doi: 10.1007/s00167-012-1985-7.
Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989;(248):13-14.
Andrea Baldini, MD; John A. Anderson: A New Patellofemoral Scoring System for Total Knee Arthroplasty. Clin Orthop Relat Res. 2006;452:150-154. doi: 10.1097/01.blo.0000238847.34047.90.
Michael Tanzer, MD, FRSCSC, Karen Smith, CRA and Stephen Burnett, MD FRCSC. Posterior- Stabilized Versus Cruciate – Retaining Total Knee Arthroplasty. J Arthroplasty. 2002;17(7):813-819. doi: 10.1054/arth.2002.34814.
Julian A.Feller, R.John Bartlett. Patellar Resurfacing versus Retention in total Knee Arthroplasty. J Bone Joint Surg. 1996;78(2):226-228.
Stathokostas L, McDonald MW, Little RM, Paterson DH. Flexibility of older adults aged 55-86 years and the influence of physical activity. J Aging Res. 2013;2013:743843. doi: 10.1155/2013/743843.
Farahini H, Moghtadaei M, Bagheri A, Akbarian E. Factors influencing range of motion after total knee arthroplasty. Iran Red Crescent Med J. 2012;14(7):417-421.
Mutsuzaki H, Takeuchi R, Mataki Y, Wadano Y. Target range of motion for rehabilitation after total knee arthroplasty. J Rural Med. 2017;12(1):33-37. doi: 10.2185/jrm.2923.
Copyright (c) 2020 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
OAI - Open Archives Initiative
Therapoid
