AIMS Medial unicompartmental knee arthroplasty (UKA) is associated with successful outcomes in carefully selected patient cohorts. We hypothesised that severity and location of patellofemoral cartilage lesions significantly influences functional outcome after Oxford medial compartmental knee arthroplasty. PATIENTS AND METHODS We reviewed 100 consecutive UKAs at minimum eight-year follow-up (9...

BACKGROUND Kneeling following total knee arthroplasty can be a difficult task, impairing the activities of patients to varying degrees. Little is known about the biomechanical effects of kneeling following total knee replacement. The objective of this study was to quantify the effects of kneeling on patellofemoral joint contact areas and pressures, knee joint reaction force, and patellar kinema...

BACKGROUND The purpose of our study was to evaluate the clinical value of hybrid SPECT/CT for the assessment of patients with painful total knee arthroplasty (TKA). METHODS Twenty-three painful knees in patients following primary TKA were assessed using Tc-99m-HDP-SPECT/CT. Rotational, sagittal and coronal position of the TKA was assessed on 3D-CT reconstructions. The level of the SPECT-trace...

Accurate rotation of the femoral component in total knee arthroplasty is important for normal patella tracking, symmetrical patellofemoral joint contact, neutral varus-valgus positioning in flexion, correct rotational alignment of the tibia in extension and the avoidance of anterior femoral notching . Internal rotation of the femoral component causes a shift into valgus alignment with flexion a...

Background Although excellent long-term clinical results have been reported for the total knee arthroplasty (TKA), 37% of patients have limited functional improvement one year after the surgery [1]. Patients with a clinical presentation of anterior knee pain could be diagnosed with patellofemoral pain syndrome (PFPS). Modified clinical classification of PFPS patients includes two main groups: w...

The aim of this study is to evaluate the relationship between patellofemoral contact stress and intraoperative knee kinematic patterns after mobile bearing total knee arthroplasty (TKA). Medial osteoarthritic knees of forty-six posterior-stabilized total knee prostheses were evaluated using a computed tomography-guided navigation system. Subjects were divided into two groups based on intraopera...

Objectives: Knee osteoarthritis (OA) is a common degenerative or post-traumatic condition, and may affect one more compartments, including the medial lateral tibiofemoral patellofemoral articulations. Isolated (PFOA) has been reported in 24% of women 11% men aged > 55 years presenting for evaluation knee pain. PFOA result abnormal mechanical loading across joint, often related to prior insta...

INTRODUCTION Iatrogenic patellar fracture is reported as a complication of patella procedures, such as medial patellofemoral ligament reconstruction, reconstruction of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and resurfacing the patella in total knee arthroplasty. CASE PRESENTATION A 65-year-old lady with right patella fracture was treated with ope...