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[Patellofemoral inlay implants-an innovation in patellofemoral joint arthroplasty?]
Hannes Degenhardt1, Andreas B Imhoff1, Matthias J Feucht1
1Abteilung für Sportorthopädie, Klinikumrechts der Isar, TU München, Ismaninger Str. 22, 81675, München, Deutschland.
Abstract:
Isolated arthrosis of the patellofemoral joint is a rare and complex disease. After conservative therapy has been exhausted, the orthopedist has various soft-tissue and bone reconstructive procedures as well as cartilage regenerative procedures at his hands. In cases of failed or unsatisfactory therapy, patellofemoral arthroplasty continues to be controversially discussed as an alternative therapy. A closer look at these studies reveals promising results with the correct indication and patient selection. The different prosthesis designs provide good postoperative results while considering general and specific risks. The current generation of patellofemoral inlay prostheses shows high patient satisfaction with significant improvements in knee function and pain relief in mid-term outcomes. However, a relatively high revision rate must be considered.
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