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Resurfacing of the patella
The Journal of Bone and Joint Surgery. American Volume
|September 1, 1980
Summary
This study evaluated 29 patellar resurfacing prostheses in 28 patients, finding that pain relief was the key factor for successful outcomes. Many patients experienced persistent pain, indicating challenges with this specific surgical approach.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
Background:
- Patellar resurfacing is a surgical option for knee conditions.
- Chromium-cobalt prostheses are commonly used in orthopedic procedures.
Purpose of the Study:
- To evaluate the clinical outcomes of patellar resurfacing prostheses.
- To identify factors associated with treatment success or failure.
Main Methods:
- A retrospective study of 29 patellar resurfacing procedures in 28 patients.
- Follow-up ranged from 3 to 6 years.
- Cemented chromium-cobalt prostheses were utilized.
Main Results:
- Outcomes included 2 excellent, 14 good, 3 fair, and 10 poor ratings.
- Prosthesis failure was consistently linked to unrelieved pain.
- Diagnoses included osteoarthritis, chondromalacia, and dislocation with osteoarthritis.
Conclusions:
- Patellar resurfacing with cemented chromium-cobalt prostheses showed variable results.
- Persistent pain is a significant complication impacting patient outcomes.
- Further research is needed to improve pain management and prosthesis efficacy.