Posterior stabilized knee prosthesis for total knee replacement in patients with prior patellectomy |
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Authors: | Hugh U Cameron Cungen Hu Didier Vyamont |
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Institution: | From the Orthopaedic & Arthritic Hospital, Toronto, Ont. |
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Abstract: | ObjectiveTo determine the outcome of total knee replacement using a posterior cruciate-substituting knee prosthesis in patients who have undergone previous patellectomy.DesignA cohort study, with a follow-up ranging from 2 to 9 years.SettingA university-affiliated institution specializing in elective orthopedic surgery.ParticipantsSixteen patients with arthritis of the knee who had had patellectomy. All agreed preoperatively to a prolonged postoperative follow-up.InterventionA cemented posterior cruciate-substituting knee replacement.Main Outcome MeasuresStair climbing ability, the Hospital for Special Surgery knee rating system for clinical results and a radiologic rating using a zonal system.ResultsClinical rating was 69% good or excellent. Eighty-one percent of patients could use the replaced knee as the lead leg on stair climbing. Minor radiolucency, mostly single zone only, was found. Two patients required revision because of pain, but no obvious reasons for this pain were found at operation.ConclusionIn the absence of a patella, a posterior cruciate-substituting prosthesis gives reasonable results. |
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