Skip to main content
SpringerLink
Log in

Patellofemoral Osteoarthritis: Patellofemoral Arthroplasty

  • Chapter
  • First Online:
Disorders of the Patellofemoral Joint

  • 662 Accesses

Abstract

Patellofemoral osteoarthritis is common in older people and those with risk factors including trochlear dysplasia and patellofemoral instability. Patellofemoral arthroplasty (PFA) is indicated in such patients and has the advantage of leaving the remaining structures of the knee intact, including the native tibiofemoral joint surfaces and cruciate ligaments. The design of PFA has evolved from inlay designs to onlay designs which are either symmetrical or asymmetrical, to match the native trochlea. Long-term survival of currently used implants is suboptimal, with the largest series of the most commonly used implant reporting a 10-year survival of 77.3% at 10 years, with most patients being revised for progression of disease. Improvements in our understanding of the indications for PFA together with improvements in the design of instruments and instrumentation have the potential to improve the survival of PFA in the future, allowing more people to benefit from the advantages it confers over total knee arthroplasty (TKA).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 89.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. van Middelkoop M, Bennell KL, Callaghan MJ, et al. International patellofemoral osteoarthritis consortium: consensus statement on the diagnosis, burden, outcome measures, prognosis, risk factors and treatment. Semin Arthritis Rheum. 2018;47:666–75.

    Article  Google Scholar 

  2. Davies AP, Vince AS, Shepstone L, Donell ST, Glasgow MM. The radiologic prevalence of patellofemoral osteoarthritis. Clin Orthop Relat Res. 2002;402:206–12.

    Article  Google Scholar 

  3. Duncan RC, Hay EM, Saklatvala J, Croft PR. Prevalence of radiographic osteoarthritis – it all depends on your point of view. Rheumatology. 2006;45:757–60.

    Article  CAS  Google Scholar 

  4. Stefanik JJ, Niu J, Gross KD, Roemer FW, Guermazi A, Felson DT. Using magnetic resonance imaging to determine the compartmental prevalence of knee joint structural damage. Osteoarthr Cartil. 2013;21:695–9.

    Article  CAS  Google Scholar 

  5. Hart HF, Stefanik JJ, Wyndow N, Machotka Z, Crossley KM. The prevalence of radiographic and MRI-defined patellofemoral osteoarthritis and structural pathology: a systematic review and meta-analysis. Br J Sports Med. 2017;51:1195–208.

    Article  Google Scholar 

  6. Noble J, Hamblen DL. The pathology of the degenerate meniscus lesion. J Bone Joint Surg (Br). 1975;57:180–6.

    Article  CAS  Google Scholar 

  7. Dejour D, Allain J. Histoire naturelle de l’arthrose fémoro-patellaire isolée. Rev Chir Orthop Reparatrice Appar Mot. 2004;90:89–93.

    Article  Google Scholar 

  8. Kreuz PC, Steinwachs M, Angele P. Single-dose local anesthetics exhibit a type-, dose-, and time-dependent chondrotoxic effect on chondrocytes and cartilage: a systematic review of the current literature. Knee Surg Sports Traumatol Arthrosc. 2018;26:819–30.

    Article  Google Scholar 

  9. Cancienne JM, Werner BC, Luetkemeyer LM, Browne JA. Does timing of previous intra-articular steroid injection affect the post-operative rate of infection in total knee arthroplasty? J Arthroplast. 2015;30:1879–82.

    Article  Google Scholar 

  10. Marsland D, Mumith A, Barlow IW. Systematic review: the safety of intra-articular corticosteroid injection prior to total knee arthroplasty. Knee. 2014;21:6–11.

    Article  Google Scholar 

  11. van Jonbergen H-PW, Werkman DM, Barnaart LF, van Kampen A. Long-term outcomes of patellofemoral arthroplasty. J Arthroplast. 2010;25:1066–71.

    Article  Google Scholar 

  12. Liow MHL, Goh GSH, Tay DKJ, Chia SL, Lo NN, Yeo SJ. Obesity and the absence of trochlear dysplasia increase the risk of revision in patellofemoral arthroplasty. Knee. 2016;23:331–7.

    Article  Google Scholar 

  13. Dahm DL, Kalisvaart MM, Stuart MJ, Slettedahl SW. Patellofemoral arthroplasty: outcomes and factors associated with early progression of tibiofemoral arthritis. Knee Surg Sports Traumatol Arthrosc. 2014;22:2554–9.

    Article  Google Scholar 

  14. Strickland SM, Bird ML, Christ AB. Advances in patellofemoral arthroplasty. Curr Rev Musculoskelet Med. 2018;11:221–30.

    Article  Google Scholar 

  15. Beitzel K, Schöttle PB, Cotic M, Dharmesh V, Imhoff AB. Prospective clinical and radiological two-year results after patellofemoral arthroplasty using an implant with an asymmetric trochlea design. Knee Surg Sports Traumatol Arthrosc. 2013;21:332–9.

    Article  Google Scholar 

  16. Sisto DJ, Sarin VK. Custom patellofemoral arthroplasty of the knee: surgical technique. J Bone Joint Surg Am. 2007;89:214–25.

    Article  Google Scholar 

  17. Walldius B. Arthroplasty of the knee using an endoprosthesis. Acta Rheumatol Scand. 1957;3:115–6.

    Article  Google Scholar 

  18. McKeever D. Patellar prosthesis. J Bone Joint Surg. 1955;37A:1074–84.

    Article  Google Scholar 

  19. Blazina ME, Fox JM, Del Pizzo W, Broukhim B, Ivey FM. Patellofemoral replacement. Clin Orthop Relat Res. 2005;436:3–6.

    Article  Google Scholar 

  20. De Winter WEAE, Feith R, Van Loon CJM. The Richards type II patellofemoral arthroplasty: 26 cases followed for 1–20 years. Acta Orthop Scand. 2001;72:487–90.

    Article  Google Scholar 

  21. Mohammed R, Jimulia T, Durve K, Bansal M, Green M, Learmonth D. Medium-term results of patellofemoral joint arthroplasty. Acta Orthop Belg. 2008;74:472–7.

    PubMed  Google Scholar 

  22. Tauro B, Ackroyd CE, Newman JH, Shah NA. The Lubinus patellofemoral arthroplasty. A five- to ten-year prospective study. J Bone Joint Surg (Br). 2001;83:696–701.

    Article  CAS  Google Scholar 

  23. Board TN, Mahmood A, Ryan WG, Banks AJ. The Lubinus patellofemoral arthroplasty: a series of 17 cases. Arch Orthop Trauma Surg. 2004;124:285–7.

    Article  CAS  Google Scholar 

  24. Iranpour F, Merican AM, Teo SH, Cobb JP, Amis AA. Femoral articular geometry and patellofemoral stability. Knee. 2017;24:555–63.

    Article  Google Scholar 

  25. Rivière C, Iranpour F, Harris S, Auvinet E, Aframian A, Parratte S, Cobb J. Differences in trochlear parameters between native and prosthetic kinematically or mechanically aligned knees. Orthop Traumatol Surg Res. 2018;104:165–70.

    Article  Google Scholar 

  26. Parvizi J, Stuart MJ, Pagnano MW, Hanssen AD. Total knee arthroplasty in patients with isolated patellofemoral arthritis. Clin Orthop Relat Res. 2001;392:147–52.

    Article  Google Scholar 

  27. Iranpour F, Auvinet E, Harris S, Cobb JP. Computer assisted patellofemoral joint arthroplasty. Bone Joint J. 2016;98B:51.

    Google Scholar 

  28. Christ AB, Baral E, Koch C, Shubin Stein BE, Gonzalez Della Valle A, Strickland SM. Patellofemoral arthroplasty conversion to total knee arthroplasty: retrieval analysis and clinical correlation. Knee. 2017;24:1233–9.

    Article  Google Scholar 

  29. National Joint Registry for England Wales and Northern Ireland NJR 2018 15th Annual Report.

    Google Scholar 

  30. Metcalfe AJ, Ahearn N, Hassaballa MA, Parsons N, Ackroyd CE, Murray JR, Robinson JR, Eldridge JD, Porteous AJ. The Avon patellofemoral joint arthroplasty. Bone Joint J. 2018;100B:1162–7.

    Article  Google Scholar 

  31. Middleton SWF, Toms AD, Schranz PJ, Mandalia VI. Mid-term survivorship and clinical outcomes of the Avon patellofemoral joint replacement. Knee. 2018;25:323–8.

    Article  CAS  Google Scholar 

  32. Sisto DJ, Henry J, Sisto M, Sarin VK. Patient-specific patellofemoral arthroplasty. Tech Knee Surg. 2010;9:188–92.

    Article  Google Scholar 

  33. Carroll KM, Mayman DJ. Robotic patellofemoral replacement. Oper Tech Orthop. 2015;25:120–6.

    Article  Google Scholar 

  34. Murray DW, Liddle AD, Dodd CA, Pandit H. Unicompartmental knee arthroplasty: is the glass half full or half empty? Bone Joint J. 2015;97B:A3–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. MSK Lab, Imperial College, Charing Cross Hospital, London, UK

    Farhad Iranpour, Arash Aframian & Justin P. Cobb

Authors
  1. Farhad Iranpour
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Arash Aframian
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Justin P. Cobb
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Farhad Iranpour .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. University College London Institute of Orthopaedics, London, UK

    Alexander D. Liddle

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Iranpour, F., Aframian, A., Cobb, J.P. (2019). Patellofemoral Osteoarthritis: Patellofemoral Arthroplasty. In: Rodríguez-Merchán, E., Liddle, A. (eds) Disorders of the Patellofemoral Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-12442-7_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-12442-7_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12441-0

  • Online ISBN: 978-3-030-12442-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation