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Patellofemoral Arthroplasty Technique: Mako

  • Jesua Law
  • Aaron Hofmann
  • Bradley Stevens
  • Alexandria Myers
Chapter

Abstract

Isolated patellofemoral arthritis is not uncommon and a well-recognized variant of the osteoarthritic knee with no clear consensus in treatment. The prevalence of isolated patellofemoral arthritis is as many as; 11% of men and 24% of women, older than 55 years old. Nonoperative and many forms of operative treatments have failed to demonstrate long-term effective results in the setting of advanced patellofemoral OA. Previous publications have demonstrated as many as 19% of patients experience residual anterior knee pain when TKA is performed for isolated patellofemoral OA. Robotic-assisted patellofemoral arthroplasty when used on the properly selected patient has good outcomes and preserves the natural tibiofemoral biomechanics and kinematics.

The current indications for patellofemoral arthroplasty are degenerative or posttraumatic arthritis isolated to the patellofemoral joint with severe symptoms, of the patellofemoral joint degeneration, affecting activities of daily having failed prior conservative procedures.

Inlay-style patellofemoral trochlear prostheses were often placed in excessive internal rotation leading to patellar maltracking; with robotic-assisted patellofemoral arthroplasty, these issues can been eliminated by controlling trochlear rotation. Presently with the advances in prosthesis design and improved surgical technique which have optimized patellar tracking, survivability of patellofemoral arthroplasty is enhanced with progression of tibiofemoral arthritis as the most common cause of failure.

Keywords

Patellofemoral arthroplasty Patellofemoral arthritis Robotics and patellofemoral arthroplasty Total knee arthroplasty Mako system for patellofemoral arthroplasty 

References

  1. 1.
    McAlindon TE, Snow S, Cooper C, Dieppe PA. Radiographic patterns of osteoarthritis of the knee joint in the community: the importance of the patellofemoral joint. Ann Rheum Dis. 1992;51:844–9.CrossRefGoogle Scholar
  2. 2.
    Davies AP, Vince AS, Shepstone L, Donell ST, Glasgow MM. The radiographic prevalence of patellofemoral osteoarthritis. Clin Orthop Relat Res. 2002;402:206–12.CrossRefGoogle Scholar
  3. 3.
    Mont MA, HAAS S, Mullick T, Hungerford DS. Total knee arthroplasty for patellofemoral arthritis. J Bone Joint Surg Am. 2002;84:1977–81.CrossRefGoogle Scholar
  4. 4.
    McKeever DC. Patella prosthesis. J Bone Joint Surg Am. 1955;37-A:1074–84.CrossRefGoogle Scholar
  5. 5.
    Blazina ME, Fox JM, Del Pizzo W, Broukin B, Ivey FM. Patellofemoral replacement. Clin Orthop. 1979;144:98–102.Google Scholar
  6. 6.
    Lubinus HH. Patella glide bearing total replacement. Orthopedics. 1979;2:119–27.PubMedGoogle Scholar
  7. 7.
    Arcierio RA, Major MC, Toomy HE. Patellofemoral arthroplasty: a three to nine year follow up study. Clin Orthop. 1988;330:60–71.Google Scholar
  8. 8.
    Argenson JN, Guillaume JM, Aubaniac JM. Is there a place for patellofemoral arthroplasty? Clin Orthop. 1988;236:60–71.Google Scholar
  9. 9.
    Tauro B, Ackroyd CE, Newman JH, Shah NA. The Luminus patellofemoral arthroplasty. J Bone Joint Surg (Br). 2001;83-B:696–701.CrossRefGoogle Scholar
  10. 10.
    Lonner JHJ. Patellofemoral arthroplasty. J Am Acad Orthop Surg. 2007;15(8):495–506.CrossRefGoogle Scholar
  11. 11.
    Wheaton AJ, Casey FL, Gougoutas AJ, et al. Correlation of T1rho with fixed charge density in cartilage. J Magn Reson Imaging. 2005;20:519–25.CrossRefGoogle Scholar
  12. 12.
    Leadbetter WB, Ragland PS, Mont MA. The appropriate use of patellofemoral arthroplasty: an analysis of reported indications, contraindications and failures. Clin Orthop Relat Res. 2005;436:92.Google Scholar
  13. 13.
    Kooijman HJ, Driessen APPM, van Horn JR. Long-term results of patellofemoral arthroplasty: a report of 56 arthroplasties with 17 years of follow up. J Bone Joint Surg (Br). 2003;85-B:836–40.CrossRefGoogle Scholar
  14. 14.
    Leadbetter WB, Kolisek FR, Levitt RL, Brooker AF. Patellofemoral arthroplasty: a multi-centre study with minimum 2-year follow-up. Int Orthop. 2008;33:1597–601.CrossRefGoogle Scholar
  15. 15.
    Ackroyd CE, Newman JH, Evans R, Eldridge JD, Joslin CC. The Avon patellofemoral arthroplasty: five year survivorship and functional results. J Bone Joint Surg Br. 2007;89:310–5.CrossRefGoogle Scholar
  16. 16.
    Mont MA, Johnson AJ, Naziri Q, Kolisek FR, Leadbetter WB. Patellofemoral arthroplasty 7-year mean follow-up. J Arthroplast. 2012;27(3):358–61.CrossRefGoogle Scholar
  17. 17.
    Konan S, Haddad FS. Midterm Outcome of Avon Patellofemoral Arthroplasty for Posttraumatic Unicompartmental Osteoarthritis. J Arthroplast. 2016;31:2657–9.CrossRefGoogle Scholar
  18. 18.
    Hofmann AA, Clark CD, Ponder C, Hoffman M. Patellofemoral replacement: the third compartment. Semin Arthro. 2009;20:29–34.CrossRefGoogle Scholar
  19. 19.
    Glassman AH, Lachiewicz PF, Tanzer M, editors. Orthopedic knowledge update: hip and knee reconstruction. 4th ed. Rosemont: American Academy of Orthopaedic Surgeons; 2011.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jesua Law
    • 1
  • Aaron Hofmann
    • 2
  • Bradley Stevens
    • 3
  • Alexandria Myers
    • 3
  1. 1.Department of OrthopedicsValley Orthopedic SurgeryModestoUSA
  2. 2.Department of Orthopaedic Surgery, Center for Precision Joint ReplacementSalt Lake Regional Medical Center/Hofmann Arthritis InstituteSalt Lake CityUSA
  3. 3.Hofmann Arthritis InstituteSalt Lake CityUSA

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