Skip to main content
SpringerLink
Log in

Complications of Patellofemoral Surgeries: Prevention and Management Strategies

  • Chapter
  • First Online:
The Patellofemoral Joint

  • 1958 Accesses

Abstract

Disorders of the patellofemoral joint include a wide array of anatomic disorders, overuse injuries, instability, trauma, and pain disorders. The etiology of many of these disorders is not well understood. Patients with patellofemoral pain and instability are difficult for clinicians to manage because of difficulty with accurate diagnosis and reproducible treatments. Caring for patients with patellofemoral disorders has been a challenge for orthopedic surgeons.

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

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
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. Insall J, Falvo KA, Wise DW. Chondromalacia patellae. A prospective study. J Bone Joint Surg Am. 1976;58(1):1–8.

    CAS  PubMed  Google Scholar 

  2. Tompkins M, Arendt EA. Complications in patellofemoral surgery. Sports Med Arthrosc. 2012;20(3):187–93.

    Article  PubMed  Google Scholar 

  3. Kadambande SS, et al. A review of wound healing following Maquet osteotomy. Knee. 2004;11(6):463–7.

    Article  CAS  PubMed  Google Scholar 

  4. Eager MR, et al. Delayed fracture of the tibia following anteromedialization osteotomy of the tibial tubercle: a report of 5 cases. Am J Sports Med. 2004;32(4):1041–8.

    Article  PubMed  Google Scholar 

  5. Kohn D, Steimer O, Seil R. Anterior medial correction the tibial tuberosity. Orthopade. 2004;33(2):218–23.

    Article  CAS  PubMed  Google Scholar 

  6. Stetson WB, et al. Fracture of the proximal tibia with immediate weightbearing after a Fulkerson osteotomy. Am J Sports Med. 1997;25(4):570–4.

    Article  CAS  PubMed  Google Scholar 

  7. Fithian DC, et al. Epidemiology and natural history of acute patellar dislocation. Am J Sports Med. 2004;32(5):1114–21.

    Article  PubMed  Google Scholar 

  8. Hautamaa PV, et al. Medial soft tissue restraints in lateral patellar instability and repair. Clin Orthop Relat Res. 1998;349:174–82.

    Article  PubMed  Google Scholar 

  9. Shah JN, et al. A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med. 2012;40(8):1916–23.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Thaunat M, Erasmus PJ. Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009;17(5):480–3.

    Article  PubMed  Google Scholar 

  11. Drez Jr D, Edwards TB, Williams CS. Results of medial patellofemoral ligament reconstruction in the treatment of patellar dislocation. Arthroscopy. 2001;17(3):298–306.

    Article  PubMed  Google Scholar 

  12. Tanaka MJ, et al. Complications of medial patellofemoral ligament reconstruction: common technical errors and factors for success: AAOS exhibit selection. J Bone Joint Surg Am. 2012;94(12):e87.

    Article  PubMed  Google Scholar 

  13. Beck P, Brown N, Greis PE, Burks RT. Patellofemoral contact pressure and lateral patellar translation after medial patellofemoral ligament reconstruction. AM J Sports Med. 2006;35:1557–63.

    Article  Google Scholar 

  14. Thaunat M, Erasmus PJ. Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2008;16(1):40–3.

    Article  PubMed  Google Scholar 

  15. Steiner TM, Torga-Spak R, Teitge RA. Medial patellofemoral ligament reconstruction in patients with lateral patellar instability and trochlear dysplasia. Am J Sports Med. 2006;34(8):1254–61.

    Article  PubMed  Google Scholar 

  16. Nomura E, Horiuchi Y, Kihara M. A mid-term follow-up of medial patellofemoral ligament reconstruction using an artificial ligament for recurrent patellar dislocation. Knee. 2000;7(4):211–5.

    Article  PubMed  Google Scholar 

  17. Christiansen SE, et al. Reconstruction of the medial patellofemoral ligament with gracilis tendon autograft in transverse patellar drill holes. Arthroscopy. 2008;24(1):82–7.

    Article  PubMed  Google Scholar 

  18. Mountney J, et al. Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. J Bone Joint Surg Br. 2005;87(1):36–40.

    CAS  PubMed  Google Scholar 

  19. Ellera Gomes JL. Medial patellofemoral ligament reconstruction for recurrent dislocation of the patella: a preliminary report. Arthroscopy. 1992;8(3):335–40.

    Article  CAS  PubMed  Google Scholar 

  20. Ritter MA, et al. Patellofemoral complications following total knee arthroplasty. Effect of a lateral release and sacrifice of the superior lateral geniculate artery. J Arthroplasty. 1996;11(4):368–72.

    Article  CAS  PubMed  Google Scholar 

  21. Parikh SN, Wall EJ. Patellar fracture after medial patellofemoral ligament surgery: a report of five cases. J Bone Joint Surg Am. 2011;93(17):e97(1–8).

    Google Scholar 

  22. Fithian DC, Powers CM, Khan N. Rehabilitation of the knee after medial patellofemoral ligament reconstruction. Clin Sports Med. 2010;29(2):283–90, ix.

    Article  PubMed  Google Scholar 

  23. Bicos J, Fulkerson JP, Amis A. Current concepts review: the medial patellofemoral ligament. Am J Sports Med. 2007;35(3):484–92.

    Article  PubMed  Google Scholar 

  24. Philippot R, et al. Medial patellofemoral ligament anatomy: implications for its surgical reconstruction. Knee Surg Sports Traumatol Arthrosc. 2009;17(5):475–9.

    Article  PubMed  Google Scholar 

  25. Servien E, et al. In vivo positioning analysis of medial patellofemoral ligament reconstruction. Am J Sports Med. 2011;39(1):134–9.

    Article  PubMed  Google Scholar 

  26. Steensen RN, Dopirak RM, Maurus PB. A simple technique for reconstruction of the medial patellofemoral ligament using a quadriceps tendon graft. Arthroscopy. 2005;21(3):365–70.

    Article  PubMed  Google Scholar 

  27. Smirk C, Morris H. The anatomy and reconstruction of the medial patellofemoral ligament. Knee. 2003;10(3):221–7.

    Article  PubMed  Google Scholar 

  28. Elias JJ, Cosgarea AJ. Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med. 2006;34(9):1478–85.

    Article  PubMed  Google Scholar 

  29. Hamner DL, et al. Hamstring tendon grafts for reconstruction of the anterior cruciate ligament: biomechanical evaluation of the use of multiple strands and tensioning techniques. J Bone Joint Surg Am. 1999;81(4):549–57.

    CAS  PubMed  Google Scholar 

  30. Schottle PB, et al. Technical note: anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft. Arch Orthop Trauma Surg. 2008;128(5):479–84.

    Article  PubMed  Google Scholar 

  31. Shocks EJ, Burks R. Medial patellofemoral ligament reconstruction using a hamstring graft. Oper Tech Sports Med. 2001;9:169–75.

    Article  Google Scholar 

  32. Johnson RP. Lateral facet syndrome of the patella. Lateral restraint analysis and use of lateral resection. Clin Orthop Relat Res. 1989;238:148–58.

    PubMed  Google Scholar 

  33. Krompinger WJ, Fulkerson JP. Lateral retinacular release for intractable lateral retinacular pain. Clin Orthop Relat Res. 1983;179:191–3.

    Article  PubMed  Google Scholar 

  34. Metcalf RW. An arthroscopic method for lateral release of subluxating or dislocating patella. Clin Orthop Relat Res. 1982;167:9–18.

    PubMed  Google Scholar 

  35. Pagenstert G, et al. Open lateral patellar retinacular lengthening versus open retinacular release in lateral patellar hypercompression syndrome: a prospective double-blinded comparative study on complications and outcome. Arthroscopy. 2012;28(6):788–97.

    Article  PubMed  Google Scholar 

  36. Fulkerson JP. Diagnosis and treatment of patients with patellofemoral pain. Am J Sports Med. 2002;30(3):447–56.

    PubMed  Google Scholar 

  37. Henry JH, Goletz TH, Williamson B. Lateral retinacular release in patellofemoral subluxation. Indications, results, and comparison to open patellofemoral reconstruction. Am J Sports Med. 1986;14(2):121–9.

    Article  CAS  PubMed  Google Scholar 

  38. Hughston JC, Deese M. Medial subluxation of the patella as a complication of lateral retinacular release. Am J Sports Med. 1988;16(4):383–8.

    Article  CAS  PubMed  Google Scholar 

  39. Laurin CA, Dussault R, Levesque HP. The tangential x-ray investigation of the patellofemoral joint: x-ray technique, diagnostic criteria and their interpretation. Clin Orthop Relat Res. 1979;144:16–26.

    PubMed  Google Scholar 

  40. Nonweiler DE, DeLee JC. The diagnosis and treatment of medial subluxation of the patella after lateral retinacular release. Am J Sports Med. 1994;22(5):680–6.

    Article  CAS  PubMed  Google Scholar 

  41. O’Neill DB. Open lateral retinacular lengthening compared with arthroscopic release. A prospective, randomized outcome study. J Bone Joint Surg Am. 1997;79(12):1759–69.

    PubMed  Google Scholar 

  42. Small NC. An analysis of complications in lateral retinacular release procedures. Arthroscopy. 1989;5(4):282–6.

    Article  CAS  PubMed  Google Scholar 

  43. Ficat P, Ficat C, Bailleux A. External hypertension syndrome of the patella. Its significance in the recognition of arthrosis. Rev Chir Orthop Reparatrice Appar Mot. 1975;61(1):39–59.

    CAS  PubMed  Google Scholar 

  44. Blasier RB, Ciullo JV. Rupture of the quadriceps tendon after arthroscopic lateral release. Arthroscopy. 1986;2(4):262–3.

    Article  CAS  PubMed  Google Scholar 

  45. Dejour D, Saggin P. The sulcus deepening trochleoplasty-the Lyon’s procedure. Int Orthop. 2010;34(2):311–6.

    Article  PubMed Central  PubMed  Google Scholar 

  46. Lippacher S, et al. Observer agreement on the Dejour trochlear dysplasia classification: a comparison of true lateral radiographs and axial magnetic resonance images. Am J Sports Med. 2012;40(4):837–43.

    Article  PubMed  Google Scholar 

  47. Saggin PR, Saggin JI, Dejour D. Imaging in patellofemoral instability: an abnormality-based approach. Sports Med Arthrosc. 2012;20(3):145–51.

    Article  PubMed  Google Scholar 

  48. Davies AP, et al. The radiologic prevalence of patellofemoral osteoarthritis. Clin Orthop Relat Res. 2002;402:206–12.

    Article  PubMed  Google Scholar 

  49. Becker R, et al. Surgical treatment of isolated patellofemoral osteoarthritis. Clin Orthop Relat Res. 2008;466(2):443–9.

    Article  PubMed Central  PubMed  Google Scholar 

  50. Lonner JH. Patellofemoral arthroplasty. Orthopedics. 2010;33(9):653.

    PubMed  Google Scholar 

  51. Leadbetter WB, et al. Patellofemoral arthroplasty: a multi-centre study with minimum 2-year follow-up. Int Orthop. 2009;33(6):1597–601.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Newman JH. Patellofemoral arthritis and its management with isolated patellofemoral replacement: a personal experience. Orthopedics. 2007;30(8 Suppl):58–61.

    PubMed  Google Scholar 

  53. Hassaballa MA, Porteous AJ, Newman JH. Observed kneeling ability after total, unicompartmental and patellofemoral knee arthroplasty: perception versus reality. Knee Surg Sports Traumatol Arthrosc. 2004;12(2):136–9.

    Article  CAS  PubMed  Google Scholar 

  54. Hendrix MR, Ackroyd CE, Lonner JH. Revision patellofemoral arthroplasty: three- to seven-year follow-up. J Arthroplasty. 2008;23(7):977–83.

    Article  PubMed  Google Scholar 

  55. 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;436:91–9.

    Article  PubMed  Google Scholar 

  56. van Jonbergen HP, Werkman DM, van Kampen A. Conversion of patellofemoral arthroplasty to total knee arthroplasty: a matched case–control study of 13 patients. Acta Orthop. 2009;80(1):62–6.

    Article  PubMed Central  PubMed  Google Scholar 

  57. Mofidi A, et al. Functional relevance of patellofemoral thickness before and after unicompartmental patellofemoral replacement. Knee. 2012;19(3):180–4.

    Article  CAS  PubMed  Google Scholar 

  58. Lonner JH. Patellofemoral arthroplasty. J Am Acad Orthop Surg. 2007;15(8):495–506.

    PubMed  Google Scholar 

  59. Farr 2nd J, Barrett D. Optimizing patellofemoral arthroplasty. Knee. 2008;15(5):339–47.

    Article  PubMed  Google Scholar 

  60. Ackroyd CE, et al. The Avon patellofemoral arthroplasty: five-year survivorship and functional results. J Bone Joint Surg Br. 2007;89(3):310–5.

    Article  CAS  PubMed  Google Scholar 

  61. Gadeyne S, et al. Results of self-centering patellofemoral prosthesis: a retrospective study of 57 implants. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(3):228–40.

    Article  CAS  PubMed  Google Scholar 

  62. Ackroyd CE, Chir B. The Avon patellofemoral arthroplasty: two to five year results. J Bone Joint Surg Br. 2003;85:162–3.

    Article  Google Scholar 

  63. Nicol SG, et al. Arthritis progression after patellofemoral joint replacement. Knee. 2006;13(4):290–5.

    Article  PubMed  Google Scholar 

  64. Argenson JN, Guillaume JM, Aubaniac JM. Is there a place for patellofemoral arthroplasty? Clin Orthop Relat Res. 1995;321:162–7.

    PubMed  Google Scholar 

  65. Leadbetter WB, et al. Indications, contraindications, and pitfalls of patellofemoral arthroplasty. J Bone Joint Surg Am. 2006;88 Suppl 4:122–37.

    Article  PubMed  Google Scholar 

  66. Arciero RA, Toomey HE. Patellofemoral arthroplasty. A three- to nine-year follow-up study. Clin Orthop Relat Res. 1988;236:60–71.

    PubMed  Google Scholar 

  67. Blazina ME, et al. Patellofemoral replacement. Clin Orthop Relat Res. 1979;144:98–102.

    PubMed  Google Scholar 

  68. van Jonbergen HP, et al. Long-term outcomes of patellofemoral arthroplasty. J Arthroplasty. 2010;25(7):1066–71.

    Article  PubMed  Google Scholar 

  69. Lonner JH. Patellofemoral arthroplasty. Instr Course Lect. 2010;59:67–84.

    PubMed  Google Scholar 

  70. Lonner JH, Mehta S, Booth Jr RE. Ipsilateral patellofemoral arthroplasty and autogenous osteochondral femoral condylar transplantation. J Arthroplasty. 2007;22(8):1130–6.

    Article  PubMed  Google Scholar 

  71. Lustig S, et al. Patellofemoral arthroplasty, where are we today? Knee Surg Sports Traumatol Arthrosc. 2012;20(7):1216–26.

    Article  PubMed  Google Scholar 

  72. Parratte S, et al. Survival of bicompartmental knee arthroplasty at 5 to 23 years. Clin Orthop Relat Res. 2010;468(1):64–72.

    Article  PubMed Central  PubMed  Google Scholar 

  73. Lonner JH. Patellofemoral arthroplasty: pros, cons, and design considerations. Clin Orthop Relat Res. 2004;428:158–65.

    Article  PubMed  Google Scholar 

  74. Odumenya M, et al. The Avon patellofemoral joint replacement: five-year results from an independent centre. J Bone Joint Surg Br. 2010;92(1):56–60.

    Article  CAS  PubMed  Google Scholar 

  75. Sisto DJ, Sarin VK. Custom patellofemoral arthroplasty of the knee. J Bone Joint Surg Am. 2006;88(7):1475–80.

    Article  PubMed  Google Scholar 

  76. Lonner JH. Modular bicompartmental knee arthroplasty with robotic arm assistance. Am J Orthop (Belle Mead NJ). 2009;38(2 Suppl):28–31.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Columbia University College of Physicians and Surgeons, New York, NY, USA

    Timothy J. Luchetti BS

  2. Department of Orthopaedics, Columbia University Medical Center, New York, NY, USA

    Lauren H. Redler MD

  3. The OSM Center, Trumbull, CT, USA

    Michael R. Redler MD

  4. Department of Orthopaedics, University of Virginia, Charlottesville, VA, USA

    Michael R. Redler MD

  5. Department of Physical Therapy and Athletic Training, Sacred Heart University, Fairfield, CT, USA

    Michael R. Redler MD

  6. Frank H Netter School of Medicine, Quinnipiac University, Hamden, CT, USA

    Michael R. Redler MD

Authors
  1. Timothy J. Luchetti BS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lauren H. Redler MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael R. Redler MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michael R. Redler MD .

Editor information

Editors and Affiliations

  1. Orthopaedic Arthroscopic Surgery, International (O.A.S.I.) Bioresearch Foundation, Gobbi N.P.O., Milan, Italy

    Alberto Gobbi

  2. Medical Centre of Excellence, Clínica do Dragão – Espregueira- Mendes Sports Centre – FIFA, Porto, Portugal

    João Espregueira-Mendes

  3. Department of Orthopaedics, Osaka Health Science University, Osaka, Japan

    Norimasa Nakamura

Rights and permissions

Reprints and permissions

Copyright information

© 2014 ISAKOS

About this chapter

Cite this chapter

Luchetti, T.J., Redler, L.H., Redler, M.R. (2014). Complications of Patellofemoral Surgeries: Prevention and Management Strategies. In: Gobbi, A., Espregueira-Mendes, J., Nakamura, N. (eds) The Patellofemoral Joint. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54965-6_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54965-6_37

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54964-9

  • Online ISBN: 978-3-642-54965-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation