Minimally Invasive Unicondylar Knee Arthroplasty in a Patellectomized Patient
Overview
General Surgery
Orthopedics
Affiliations
Patellectomized patients may have less satisfactory clinical outcomes following total knee arthroplasty due to a decreased extensor mechanism efficiency and potential instability. The literature only reports 3 case series of patients who had a previous patellectomy undergoing a Unicondylar Knee Arthroplasty (UKA) with mixed results. A Minimally Invasive fixed-bearing UKA was performed in a patellectomized patient with excellent postoperative knee stability and clinical outcomes after 5 years. MIS UKA may be a viable option for patellectomized patients with isolated medial compartment osteoarthritis and no preoperative extensor deficiency or instability. Level of evidence IV.
Unicondylar knee arthroplasty following a patellectomy.
Brauns J, Feyen H Arthroplast Today. 2020; 6(1):48-51.
PMID: 32211474 PMC: 7083750. DOI: 10.1016/j.artd.2019.10.005.
Robot-Assisted Medial Compartment Arthroplasty Following Remote Patellectomy: A Case Report.
Kouk S, Kalbian I, Wolfe E, Strickland S J Orthop Case Rep. 2018; 8(1):11-14.
PMID: 29854684 PMC: 5974668. DOI: 10.13107/jocr.2250-0685.976.
Dammerer D, Liebensteiner M, Rochau H, Uprimny C, Smekal V, Rosenberger R BMC Musculoskelet Disord. 2017; 18(1):532.
PMID: 29246134 PMC: 5732380. DOI: 10.1186/s12891-017-1885-6.
Total patellectomy in knees without prior arthroplasty: a systematic review.
Cavaignac E, Pailhe R, Reina N, Wargny M, Bellemans J, Chiron P Knee Surg Sports Traumatol Arthrosc. 2014; 22(12):3083-92.
PMID: 24760164 DOI: 10.1007/s00167-014-3012-7.