The Effect of Partial Lateral Facetectomy of the Patella on the Radiographic and Clinical Outcome of Unresurfaced Patellar-retaining Total Knee Arthroplasty

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BAGHERIFARD ABOLFAZL; JABALAMELI MAHMOOD; RAHIMI FOUAD; Ghaderi Mohammad Taher; Heidari Khoo Mohamadreza; Soleymani Naseh

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Journal: Journal of Research in Orthopedic Science Year:2020 | Volume:7 | Issue:1 Page(s): 1-6

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Title

The Effect of Partial Lateral Facetectomy of the Patella on the Radiographic and Clinical Outcome of Unresurfaced Patellar-retaining Total Knee Arthroplasty

Author(s)

Keywords

Total knee arthroplasty

Patella

Partial lateral facetectomy

Abstract

Background: Management of Patellar maltracking during primary TKA is of considerable importance. Lateral release, which is generally performed for this purpose, is associated with several complications. Objectives: In this study, we aimed to evaluate the role of Partial lateral facetectomy in tracking the Patella in Total knee arthroplasty (TKA). Methods: In a retrospective study, the efficiency of Partial lateral facetectomy of the Patella in achieving proper tracking of the Patella was evaluated in 116 patients who underwent unresurfaced Patellar-retaining TKA. The radiographic outcome measures included the Patellar tilt and Patellar shift. The functional outcome was assessed with Kujala anterior knee pain scale. Results: The Mean± SD age of the patients was 66. 3± 7. 6 years. The mean follow-up of patients was 20. 6± 8. 9 months. The Mean± SD Patellar tilt was 10. 5± 7. 2 ° before the surgery and 4. 4± 5 ° after the operation ( P < 0. 001 ). The Mean± SD preoperative Patellar shift was 3. 3± 4. 3 mm which improved to-0. 2± 2. 8° after the surgery ( P < 0. 001 ). The Mean± SD Kujala score of the patients was 74. 6± 7. 1, ranging from 54 to 89. No complication was recorded during the follow-up period. Conclusion: Partial lateral facetectomy of the Patella provides an acceptable radiographic and functional outcome in patients undergoing primary TKA. Therefore, it could be regarded as a valuable alternative to lateral release in unresurfaced Patellar-retaining TKA.

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Quality of life after total knee arthroplasty

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APA: Copy

BAGHERIFARD, ABOLFAZL, JABALAMELI, MAHMOOD, RAHIMI, FOUAD, Ghaderi, Mohammad Taher, Heidari Khoo, Mohamadreza, & Soleymani, Naseh. (2020). The Effect of Partial Lateral Facetectomy of the Patella on the Radiographic and Clinical Outcome of Unresurfaced Patellar-retaining Total Knee Arthroplasty. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), 7(1), 1-6. SID. https://sid.ir/paper/759523/en

Vancouver: Copy

BAGHERIFARD ABOLFAZL, JABALAMELI MAHMOOD, RAHIMI FOUAD, Ghaderi Mohammad Taher, Heidari Khoo Mohamadreza, Soleymani Naseh. The Effect of Partial Lateral Facetectomy of the Patella on the Radiographic and Clinical Outcome of Unresurfaced Patellar-retaining Total Knee Arthroplasty. JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL)[Internet]. 2020;7(1):1-6. Available from: https://sid.ir/paper/759523/en

IEEE: Copy

ABOLFAZL BAGHERIFARD, MAHMOOD JABALAMELI, FOUAD RAHIMI, Mohammad Taher Ghaderi, Mohamadreza Heidari Khoo, and Naseh Soleymani, “The Effect of Partial Lateral Facetectomy of the Patella on the Radiographic and Clinical Outcome of Unresurfaced Patellar-retaining Total Knee Arthroplasty,” JOURNAL OF RESEARCH IN ORTHOPEDIC SCIENCE (SHAFA ORTHOPEDIC JOURNAL), vol. 7, no. 1, pp. 1–6, 2020, [Online]. Available: https://sid.ir/paper/759523/en

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