Patellofemoral arthroplasty with a customized trochlear prosthesis.

Successful patellofemoral arthroplasty depends on appropriate patient selection, proper prosthesis design, and correct surgical technique. Clinical results using off-the-shelf patellofemoral prostheses have reported mixed results primarily because of an inability to address these important characteristics adequately. This article reviews the design rationale, excellent clinical history, and straightforward surgical technique of a unique approach to patellofemoral arthroplasty that incorporates a customized trochlear prosthesis designed to fit the individual patient's patellofemoral groove.

Custom patellofemoral arthroplasty of the knee. Surgical technique.

Background: The treatment of isolated patellofemoral arthritis is controversial. Several surgical procedures have been used to treat the severely degenerated patellofemoral joint, with varying degrees of success. The purpose of this study was to determine the clinical results of a custom patellofemoral arthroplasty for the treatment of isolated patellofemoral degenerative arthritis of the knee.

Revision of failed arthroscopic bankart repairs.

Background: The results following open revision surgery following a failed arthroscopic Bankart procedure are not well documented.

Purpose: To evaluate the results of patients with a failed arthroscopic Bankart repair treated with a traditional, open Bankart repair.

Study Design: Case series; Level of evidence, 4.

Custom patellofemoral arthroplasty of the knee.

Background: The treatment of isolated patellofemoral arthritis is controversial. Several surgical procedures have been used to treat the severely degenerated patellofemoral joint, with varying degrees of success. The purpose of this study was to determine the clinical results of a custom patellofemoral arthroplasty for the treatment of isolated patellofemoral degenerative arthritis of the knee.

UniSpacer arthroplasty of the knee.

Background: The operative treatment of medial compartment knee arthritis is controversial. The purpose of the present study was to report the experience of a single surgeon with the UniSpacer arthroplasty for the treatment of isolated medial compartment arthritis of the knee.

Methods: From April 2002 through November 2002, thirty-seven UniSpacer arthroplasties were performed in thirty-four patients for the treatment of arthritis that primarily involved the medial compartment of the knee.