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Related Experiment Video

Updated: Feb 12, 2026

Reverse Total Shoulder Arthroplasty
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Patellofemoral arthroplasty: Current concepts.

Rory Cuthbert1, Saket Tibrewal1, Sheo B Tibrewal2

  • 1Department of Trauma & Orthopaedic Surgery, Lewisham & Greenwich NHS Trust, University Hospital Lewisham, Lewisham High Street, London, SE13 6LH, United Kingdom.

Journal of Clinical Orthopaedics and Trauma
|April 10, 2018
PubMed
Summary
This summary is machine-generated.

Isolated patellofemoral arthritis (IPA) is a knee condition affecting cartilage. Patellofemoral arthroplasty (PFA) offers a joint-preserving alternative to total knee replacement (TKR) for selected patients.

Keywords:
Knee arthritisKnee arthroplastyPatellofemoral arthritisPatellofemoral arthroplastyUnicompartmental arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Rheumatology

Background:

  • Isolated patellofemoral arthritis (IPA) involves cartilage loss in the kneecap and thigh groove, sparing other knee compartments.
  • Current treatment debates exist between patellofemoral arthroplasty (PFA) and total knee replacement (TKR).

Purpose of the Study:

  • To comprehensively review the existing literature on patellofemoral arthroplasty (PFA).
  • To evaluate PFA's role as a joint-preserving procedure for IPA.
  • To compare PFA with total knee replacement (TKR) in selected IPA patients.

Main Methods:

  • Systematic literature review of patellofemoral arthroplasty (PFA) studies.
  • Analysis of functional outcomes, economic benefits, and patient selection criteria for PFA.
  • Comparison of PFA with total knee replacement (TKR) in the context of isolated patellofemoral arthritis.

Main Results:

  • Patellofemoral arthroplasty (PFA) preserves native knee kinematics and healthy bone.
  • Carefully selected IPA patients may benefit from PFA's functional superiority.
  • PFA can be an economically beneficial option, potentially delaying the need for total knee replacement (TKR).

Conclusions:

  • Patellofemoral arthroplasty (PFA) is a viable joint-preserving option for carefully selected patients with isolated patellofemoral arthritis (IPA).
  • PFA offers functional and economic advantages, potentially postponing total knee replacement (TKR).
  • Further research and surgeon consensus are needed to optimize PFA utilization.