2 results match your criteria: "Instituto Clinico Citta Studi[Affiliation]"

Redefining the concept of patellofemoral stuffing in total knee arthroplasty.

J ISAKOS

November 2024

Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon University Hospital, Lyon, France; Univ Lyon, Claude Bernard Lyon 1 University, IFSTTAR, LBMC UMR_T9406, F69622, Lyon, France.

Article Synopsis
  • - The study aimed to evaluate how recreating the anterior space of the trochlea during total knee arthroplasty affects trochlea depth at both mid and deep flexion angles.
  • - Out of 122 patients, all had a balanced trochlea in full extension; however, more than 40% experienced overstuffing or understuffing issues in mid (32% understuffed) and deep (20.5% overstuffed) flexion.
  • - Significant differences were found in external rotation of the trochlea components between balanced and unbalanced groups at mid flexion, but not in deep flexion or other measures.
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The anterior part (third space) of the knee appears important in the soft tissue functional outcome following knee replacement surgery. Native patellofemoral kinematics are complex and variable, and further understanding has led to prosthetic redesign. Attention to soft tissue tension anteriorly (balancing the third space) during knee replacement may maximise post-operative function and avoid issues with understuffing and overstuffing.

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