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Background: Patellar resurfacing during total knee arthroplasty (TKA) remains controversial. The aim of this study was to evaluate the long-term outcomes of a mobile-bearing TKA without patellar resurfacing.
Methods: We assessed the outcomes in 503 patients (600 knees) who had cemented LCS (low contact stress) mobile bearing TKA without patellar resurfacing at a minimum follow-up of 10 years. Clinical outcome scores and radiological assessment were used.
Results: Four knees were revised, two had bearing dislocation and nine patients (1.5%) had secondary resurfacing for anterior knee pain. There were no radiolucent lines or osteolytic defects on radiographic evaluation. The overall survivorship was 97.8% with re-operation for any reason as the endpoint.
Conclusion: Non-resurfacing of the patella does not adversely affect the outcome of the LCS mobile bearing TKA at minimum 10 years follow-up.
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http://dx.doi.org/10.1016/j.knee.2011.07.002 | DOI Listing |
Foot Ankle Surg
December 2024
Department of Orthopedic Surgery, Medical Center Leeuwarden, Leeuwarden, the Netherlands.
Background: Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.
View Article and Find Full Text PDFKnee
December 2024
Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul, South Korea; Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, South Korea. Electronic address:
Background: Total knee arthroplasty (TKA) mainly involves the femoral, tibial, and bearing implants. Bearings are categorized by posterior cruciate ligament (PCL) status (cruciate-retaining [CR] vs. posterior-stabilized [PS]) and motion (mobile vs.
View Article and Find Full Text PDFJ Orthop
July 2025
Department of Orthopaedic Surgery and Joint Surgery Centre, Takatsuki, General Hospital, 1-3-13, Kosobe-Cho, Takatsuki, Osaka, 561-1115, Japan.
Background: The presence of full-thickness cartilage in the lateral compartment on valgus stress radiography is a criterion for medial mobile-bearing unicompartmental knee arthroplasty (UKA). However, the appropriateness of medial UKA is uncertain when preoperative MRI shows extrusion of the lateral meniscus. We therefore assessed how preoperative MRI-detected lateral meniscus extrusion affects mid-term functional outcomes after mobile-bearing UKA.
View Article and Find Full Text PDFMalays Orthop J
November 2024
Department of Clinical Research, Orthopaedic Arthroscopy Knee and Shoulder Clinic, Mumbai, India.
Introduction: Hypovitaminosis D plays an important role in post-operative bone pain and muscle strength in arthroplasty surgeries. Its role in unicompartmental knee arthroplasty (UKA) has not been elucidated yet. The objective of this study was to determine the impact of hypovitaminosis D and its correction on post-operative bone pain after UKA.
View Article and Find Full Text PDFJ Clin Med
November 2024
Swiss Ortho Center, Swiss Medical Network, Schmerzklinik Basel, 4010 Basel, Switzerland.
The interest in performing total ankle arthroplasty (TAA) to address end-stage ankle osteoarthritis (OA) is continuously growing. Sports activity plays an important role in our world. The literature is sparse regarding return-to-sports activity following TAA.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!