[Patellofemoral Pain After Total Knee Arthroplasty: Clinical Pathway and Review of the Literature]

Overview

Journal Orthopade

Specialty Orthopedics

Date 2011 Sep 28

PMID 21947606

Citations 8

Authors

H-R Springorum

B Rath

C Baier

P Lechler

C Luring

J Grifka

Affiliations

Soon will be listed here.

Abstract

Total knee arthroplasty (TKA) is an operation with a high gain in quality of life. However, some patients suffer from pain, limited range of motion, instability, infections or other postoperative complications. Patellofemoral pain (PFP) in particular is a common complication after TKA and is often responsible for revision surgery. In particular increasing and localized contact pressure and patella maltracking are held accountable for patellofemoral pain but the reasons are various. Diagnostics and therapy of patellofemoral pain is not easy to handle and should be treated following a clinical pathway. We suggest that patients with patellofemoral pain should be classified into four groups according to the suspected diagnosis after basic diagnostic measures as 1) tenidinosis, 2) mechanical reasons, 3) intraarticular non-mechanical reasons and 4) neurogenic psychogenic reasons. Efficient application of special diagnostic measures and further therapy is facilitated by this classification.

Citing Articles

Intraoperative analysis of patellofemoral joint morphology before and after total knee arthroplasty : A feasibility study.

Kebbach M, Mick E, Kirschner S, Luetzner J, Bader R Orthopadie (Heidelb). 2022; 51(7):580-589.

PMID: 35254486 PMC: 9249712. DOI: 10.1007/s00132-022-04224-x.

[Predictors for persistent pain and dissatisfaction after total knee arthroplasty].

Reichel F, Innmann M, Gotterbarm T, Schiltenwolf M, Merle C Schmerz. 2019; 33(3):185-190.

PMID: 30788580 DOI: 10.1007/s00482-019-0359-1.

[Causes and management of patellar instability after total knee replacement : Lateralization, subluxation and luxation].

Heller K Orthopade. 2016; 45(5):399-406.

PMID: 27125236 DOI: 10.1007/s00132-016-3259-4.

[Anterior knee pain after total knee arthroplasty : Causes, diagnosis and treatment].

Michalik R, Rath B, Springorum H, Luring C, Tingart M Orthopade. 2016; 45(5):386-98.

PMID: 27125231 DOI: 10.1007/s00132-016-3256-7.

[Painful total knee arthroplasty. A treatment algorithm].

Worner M, Springorum H, Craiovan B, Winkler S, Grifka J, Renkawitz T Orthopade. 2014; 43(5):440-7.

PMID: 24818701 DOI: 10.1007/s00132-013-2192-z.

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