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      Unicondylar knee arthroplasty following a patellectomy

      case-report
      Author(s): , MD ∗ , , MD
      Publication date (Electronic):
      Journal: Arthroplasty Today
      Publisher: Elsevier
      Keywords: Unicondylar, Knee, Arthroplasty, Oxford, Patellectomy, Patella

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          Abstract

          We present a case of a 59-year-old woman with a history of a right-sided patellectomy. She presented with right-sided anteromedial osteoarthritis. A unicondylar knee arthroplasty was performed. In the literature, we found only a few similar cases, with varying results. The woman in this case showed excellent postoperative clinical results. We concluded that a patellectomy may not be a contraindication for unicondylar knee arthroplasty in patients with isolated medial compartment osteoarthritis.

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          Most cited references13

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          A comparison of four models of total knee-replacement prostheses.

          V. Shine, P Aglietti, J N Insall … (1976)
          Twenty-nine knees with unicondylar, sixty-four with duocondylar, fifty with Guepar, and fifty with geometric prostheses were studied. The follow-up ranged from two to three and one-half years. The unicondylar prosthesis was used in the mildest cases and gave the least complications, but the quality of results was not superior to that achieved with the other prostheses. The duocondylar model was best suited for knees with rheumatoid arthritis and mild deformity. The geometric prosthesis was the best condylar prosthesis for osteoarthritis with moderate to severe deformity, but gave the worst results in knees with rheumatoid arthritis. The Guepar prosthesis was used in the worst knees and gave the best results, but it had the highest infection rate and was the most difficult to salvage. A radiolucency was observed in about 60 per cent of the condylar replacements around the tibial component and in 45 per cent of the Geupar replacements around the femoral component. The significance of this cannot yet be determined but it suggest that the fixation may not be ideal. In all types, residual pain was most frequently attributed to the patellar compartment. Patellectomy was not a solution.
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            The effect of patellectomy on knee function.

            J Lipke, D B Kettelkamp, Elaine C. Thompson … (1976)
            Thirty-three patients were evaluated after patellectomy for subjective complaints, objective physical findings, quadriceps strength, and knee motion during activities of daily living. Partial and complete patellectomy caused an equal loss of active and passive range of motion. Complete patellectomy resulted in greater ligament instability, quadriceps atrophy, and loss of quadriceps strength compared with partial patellectomy. Complete patellectomy casued a reduction in the degree of stance-phase flexion during level walking and negotiating stairs.
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              Development and preliminary validation of a meniscal symptom index.

              Nina Niu, Elena Losina, Scott D. Martin … (2011)
              In diagnosing symptomatic meniscal tear, clinicians often query patients with a "checklist" of symptoms such as "popping" or "catching." There has been little research on the reliability or diagnostic value of these terms.
              Article 0 comments Cited 11 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jantine Brauns
                Journal
                Journal ID (nlm-ta): Arthroplast Today
                Journal ID (iso-abbrev): Arthroplast Today
                Title: Arthroplasty Today
                Publisher: Elsevier
                ISSN (Print): 2352-3441
                ISSN (Electronic): 2352-3441
                Publication date PMC-release: 30 November 2019
                Publication date Collection: March 2020
                Publication date (Electronic): 30 November 2019
                Volume: 6
                Issue: 1
                Pages: 48-51
                Affiliations
                [1]Orthopaedic Department, Sint-Dimpna Hospital, Geel, Belgium
                Author notes
                [∗ ]Corresponding author. Orthopaedic Department, Sint-Dimpna Hospital, J.B. Stessensstraat 2, 2440 Geel, Belgium. Tel. +32 14/57 70 13. jantine.brauns@ 123456gmail.com
                Article
                Publisher ID: S2352-3441(19)30142-6
                DOI: 10.1016/j.artd.2019.10.005
                PMC ID: 7083750
                SO-VID: 746170d8-304b-424a-bd33-0d922cd48047
                Copyright © © 2019 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 13 September 2019
                Date revision received : 23 October 2019
                Date accepted : 26 October 2019
                Categories
                Subject: Case Report

                Keywords: unicondylar,knee,arthroplasty,oxford,patellectomy,patella
                Data availability:
                Keywords: unicondylar, knee, arthroplasty, oxford, patellectomy, patella

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