K Anagnostakos1, O Lorbach, D Kohn, P Orth. 1. Klinik für Orthopädie und orthopädische Chirurgie, Universitätsklinikum des Saarlandes, Kirrbergerstraße 1, 66421, Homburg/Saar, Deutschland, k.anagnostakos@web.de.
Abstract
BACKGROUND: Changes of patellar position (height, tilt, and shift) and arthritis of the patellofemoral joint might potentially influence outcome after unicompartmental knee replacement. OBJECTIVES: The purpose of this work is to evaluate the influence of the aforementioned parameters on postoperative outcome. METHODS: Literature analysis via PubMed. RESULTS: A total of 12 relevant studies (three about Patellar height, two about patellar tilt and shift, seven about patellofemoral osteoarthritis) could be identified. Regarding Patellar height, two out of three studies demonstrated a postoperative decrease. With regard to patellar tilt and shift, only one study identified postoperative lateralization of the patella to be a predictor for poor outcome. The radiological appearance of arthritis of the patellofemoral joint does not significantly influence postoperative knee function except for cases where only the lateral patellar facet is affected. Anterior knee pain has no influence on clinical outcome. CONCLUSION: Literature data do not allow for a precise statement about the possible influence of patellar position on the outcome after unicompartmental knee replacement. With proper patient selection, good results can be achieved despite patellofemoral osteoarthritis.
BACKGROUND: Changes of patellar position (height, tilt, and shift) and arthritis of the patellofemoral joint might potentially influence outcome after unicompartmental knee replacement. OBJECTIVES: The purpose of this work is to evaluate the influence of the aforementioned parameters on postoperative outcome. METHODS: Literature analysis via PubMed. RESULTS: A total of 12 relevant studies (three about Patellar height, two about patellar tilt and shift, seven about patellofemoral osteoarthritis) could be identified. Regarding Patellar height, two out of three studies demonstrated a postoperative decrease. With regard to patellar tilt and shift, only one study identified postoperative lateralization of the patella to be a predictor for poor outcome. The radiological appearance of arthritis of the patellofemoral joint does not significantly influence postoperative knee function except for cases where only the lateral patellar facet is affected. Anterior knee pain has no influence on clinical outcome. CONCLUSION: Literature data do not allow for a precise statement about the possible influence of patellar position on the outcome after unicompartmental knee replacement. With proper patient selection, good results can be achieved despite patellofemoral osteoarthritis.
Authors: Thorsten M Seyler; Michael A Mont; Lawrence P Lai; Jipan Xie; David R Marker; Michael G Zywiel; Peter M Bonutti Journal: J Orthop Surg Res Date: 2009-10-26 Impact factor: 2.359