[Patellar reconstruction during total knee arthroplasty after previous patellectomy].

Purpose Of The Study: In order to limit the consequences of prior total patellectomy on knee function after total knee arthroplasty, we propose an original technique using an en bloc patellar graft to reconstruct the quadriceps lever arm. The purpose of this work was to describe the technique and present preliminary results obtained in seven patients.

Patients And Methods: Seven en bloc patellar grafts were performed in seven patients (6 women and 1 man) during total knee arthroplasty procedures for femorotibial degenerative joint disease after prior patellectectomy (mean 13 years before arthroplasty, range 5-20 years).

[Management of stiffness after total knee arthroplasty: indication for different mobility management in 62 cases].

Purpose Of The Study: Stiffness of the knee is a common reason for revision of total knee arthroplasty. Three methods are currently used to mobilize the knee: manipulation under general anesthesia, arthroscopic release, open surgical release. The purpose of the present work was to determine the respective indications of these three procedures in a large single-center study.

[Acquired jejunal and ileal diverticula (Meckel's excluded)].

Acquired jejuno-ileal diverticulosis are rare (0.1 to 1.4%) but their complications are non exceptional (6 to 13%) with a death rate which can reach 40% in older patients.