One contested contraindication to medial unicompartmental knee arthroplasty (UKA) has been status of the patellofemoral joint. Surgeons have avoided UKA when the patellofemoral joint has radiographic evidence of arthritic changes. However, recent studies advocate ignoring patellofemoral joint status when considering UKA. The purpose of this study was to compare the failure rate of mobile-bearin...

This study involved the development and testing of a system for the simultaneous in vitro measurement of tibiofemoral kinematics and patellofemoral kinematics and forces. Knee motion was tracked using a Vicon 370, and patellofemoral force was measured using a six degree-of-freedom transducer based on the design of Singerman et al. Using this system, twelve knee specimens were tested in supine l...

Thirty patients with isolated patellofemoral complications after total knee arthroplasty were compared with 20 patients with well functioning total knee replacements without patellofemoral complications. The epicondylar axis and tibial tubercle were used as references on computed tomography scans to measure quantitatively rotational alignment of the femoral and tibial components. The group with...

Patellofemoral (PF) osteoarthritis (OA) is a somewhat predominant illness, affecting up to 24% of women and 11% ofmen over the age of 55 years who suffer from symptomatic knee OA. The purposes of this narrative overview are tosummarize the present situation of patellofemoral arthroplasty (PFA) in the treatment of solitary PF-OA, and to givean account of the clinical results of...

Anterior knee pain is a frequent clinical problem. It provides a common challenge to diagnose and manage. Basic science studies have provided insight into the origin of anterior knee pain and refined understanding of the anatomy. Clinical evaluation has progressively focused on the contribution of the entire lower extremity to patellofemoral function. Nonsurgical management has been refined by ...

Patellofemoral osteotomies can provide excellent symptomatic relief for selected patients with isolated patellofemoral osteoarthritis (PFOA). Isolated PFOA is a relatively common disorder, seen in 24% of women and 11% of men over the age of 55 years. In up to 89% of these patients, PFOA occurs at the lateral facet of the patella, and is especially amenable to surgical treatment. Particularly in...

Background: The bone mineral density (BMD) o f the distal fem ur decreases by 16-36% w ith in one year after total knee arthroplasty (TKA) because o f the femoral component's stress-shielding effect. The aim o f this prospective study was to determ ine the quantitative change from the baseline BMD in the distal fem ur 1 year after patellofemoral arthroplasty using dual-energy X-ray absorptiomet...