Patient-related outcomes of patellofemoral arthroplasty: experience of a single center.

Arthroplasty

West Suffolk NHS Trust, Hardwick Ln, Bury St Edmunds, Bury Saint Edmunds, IP33 2QZ, UK.

Published: June 2021

AI Article Synopsis

  • The study investigates the effectiveness of patellofemoral arthroplasty on patients with isolated patellofemoral osteoarthritis over an 11-year period.
  • Analysis of patient outcomes using the Oxford Knee Score showed significant improvement post-surgery, with average score reductions indicating better knee function.
  • Findings suggest that the improvement in knee function is not influenced by implant type, gender, age, or BMI, but further research is necessary to evaluate long-term results.

Article Abstract

Purpose: The purpose of this prospective study was to present the experience of a single center on patellofemoral arthroplasty, in terms of patient-related outcomes.

Method: From January 2005 to January 2016, 42 patients with isolated patellofemoral osteoarthritis were treated. The patients were assessed using the Oxford Knee Score preoperatively, and one, five, and eight year(s) after surgery. The data of the patients were analyzed using linear mixed effects models. A P value of 0.05 was considered statistically significant.

Results: Among 42 patients who underwent patellofemoral arthroplasty, only 25 patients (31 limbs involved) had records up to 5 years. There was a significant clinical improvement of Oxford Knee Score postoperatively (P < 0.05), lowering the score on average by 10.4 ± 1.5 one year after surgery and 8.9 ± 1.9 five years after surgery. This improvement was independent of the types of implants (P > 0.05), gender (P > 0.05), age (P < 0.05), and body mass index (BMI) (P < 0.05).

Conclusion: Patellofemoral arthroplasty can significantly improve the knee function, and this improvement is independent of the type of implant, gender, age, and BMI. However, further studies will need to assess the long-term outcomes of PFA.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796586PMC
http://dx.doi.org/10.1186/s42836-021-00074-8DOI Listing

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