Partial Lateral Patellar Facetectomy as an Alternative to Lateral Release in Total Knee Arthroplasty (TKA)

Abstract This study presents the selective use of partial patellar lateral facetectomy for maltracking during primary TKA, as an alternative to lateral release. Twenty three partial facetectomies were performed out of 191 TKAs (12%). Balanced tracking was achieved in 22 knees. At follow-up 2 patient...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of arthroplasty 2014-11, Vol.29 (11), p.2146-2149
Main Authors: Lakstein, Dror, MD, Naser, Muhammad, MD, Adar, Eliyahu, MD, Atoun, Ehud, MD, Edelman, Alexander, MD, Hendel, David, MD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthritis - surgery
Arthroplasty, Replacement, Knee - methods
facetectomy
Female
Humans
Knee Joint - surgery
lateral release
Male
maltracking
Middle Aged
Orthopedics
Patella - surgery
patellar tracking
total knee arthroplasty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract This study presents the selective use of partial patellar lateral facetectomy for maltracking during primary TKA, as an alternative to lateral release. Twenty three partial facetectomies were performed out of 191 TKAs (12%). Balanced tracking was achieved in 22 knees. At follow-up 2 patients had persistent anterior knee pain. Mean Knee Society score (KSS) was 94 and mean functional KSS was 86. Mean patellar score was 28. Patellar tilt angles were within 2 degrees in all but one knee. Patellar translation was within 2 mm in all cases. No complications were recorded. A control group of 46 matched patients had similar functional and radiographic results. If tracking is not satisfactory at the conclusion of TKA, our method of choice would be partial lateral facetectomy.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.06.013