Skip to main content
SpringerLink
Log in

Inlay Patellofemoral Arthroplasty

  • Chapter
  • First Online:
ESSKA Instructional Course Lecture Book

  • 1378 Accesses

Abstract

Background: Isolated arthroplasty of the patellofemoral joint has been invented long ago. However, poor clinical outcomes and high failure rates have been reported in the past. Currently available trochlear implant designs can be divided into inlay and onlay designs. This chapter describes the technique and philosophy of a current inlay design and provides an overview of the available literature regarding the outcome.Results: Currently, there are some case series and only one trial comparing an inlay with an onlay design. Progression of tibiofemoral OA was the most common reason for failure of PFA using modern prosthetic designs. An interesting finding of the comparative study was that none of the patients with an inlay component showed progression of tibiofemoral osteoarthritis (OA), whereas more than half of the patients in the onlay group demonstrated progression of medial and/or lateral tibiofemoral OA.Conclusion: The hypothesis for this observation is the more anatomic approach of the inlay design that better reproduces the complex kinematics of the patellofemoral joint, by preventing soft tissue irritation due to overstuffing.

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 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
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. Mckeever DC. Patellar prosthesis. J Bone Joint Surg Am. 1955;37-A:1074–84.

    Article  CAS  Google Scholar 

  2. Blazina ME, Fox JM, Del Pizzo W, Broukhim B, Ivey FM. Patellofemoral replacement. Clin Orthop Relat Res. 1979;144:98–102.

    Google Scholar 

  3. Leadbetter WB. Patellofemoral arthroplasty in the treatment of patellofemoral arthritis: rationale and outcomes in younger patients. Orthop Clin North Am. 2008;39(3):363–80.

    Article  Google Scholar 

  4. Lustig S, Magnussen RA, Dahm DL, Parker D. Patellofemoral arthroplasty, where are we today? Knee Surg Sports Traumatol Arthrosc. 2012;20(7):1216–26.

    Article  Google Scholar 

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

    Google Scholar 

  6. van Wagenberg JM, Speigner B, Gosens T, de Waal MJ. Midterm clinical results of the autocentric II patellofemoral prosthesis. Int Orthop. 2009;33(6):1603–8.

    Article  Google Scholar 

  7. Charalambous CP, Abiddin Z, Mills SP, Rogers S, Sutton P, Parkinson R. The low contact stress patellofemoral replacement: high early failure rate. J Bone Joint Surg Br. 2011;93(4):484–9.

    Article  CAS  Google Scholar 

  8. Board TN, Mahmood A, Ryan WG, Banks AJ. The Lubinus patellofemoral arthroplasty: a series of 17 cases. Arch Orthop Trauma Surg. 2004;124(5):285–7.

    Article  CAS  Google Scholar 

  9. Imhoff AB, Feucht MJ, Meidinger G, Schottle PB, Cotic M. Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months. Knee Surg Sports Traumatol Arthrosc. 2015;23(5):1299–307.

    Article  Google Scholar 

  10. Walker T, Perkinson B, Mihalko WM. Patellofemoral arthroplasty: the other unicompartmental knee replacement. J Bone Joint Surg Am. 2012;94(18):1712–172.

    Article  Google Scholar 

  11. Lonner JH, Bloomfield MR. The clinical outcome of patellofemoral arthroplasty. Orthop Clin North Am. 2013;44(3):271–80.

    Article  Google Scholar 

  12. Davidson PA, Rivenburgh D. Focal anatomic patellofemoral inlay resurfacing: theoretic basis, surgical technique, and case reports. Orthop Clin North Am. 2008;39(3):337–46.

    Article  Google Scholar 

  13. Cannon A, Stolley M, Wolf B, Amendola A. Patellofemoral resurfacing arthroplasty: literature review and description of a novel technique. Iowa Orthop J. 2008;28:42–8.

    PubMed  PubMed Central  Google Scholar 

  14. Provencher M, Ghodadra NS, Verma NN, Cole BJ, Zaire S, Shewman E, Bach BR Jr. Patellofemoral kinematics after limited resurfacing of the trochlea. J Knee Surg. 2009;22(4):310–6.

    Article  Google Scholar 

  15. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957;16(4):494–502.

    Article  CAS  Google Scholar 

  16. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961;43-B:752–7.

    Article  CAS  Google Scholar 

  17. Caton J, Deschamps G, Chambat P, et al. Patella infera. Apropos of 128 cases. Rev Chir Orthop Reparatrice Appar Mot. 1982;68:317–25.

    CAS  PubMed  Google Scholar 

  18. Borus T, Brilhault J, Confalonieri N, Johnson D, Thienpont E. Patellofemoral joint replacement, an evolving concept. Knee. 2014;21(Suppl 1):S47–50.

    Article  Google Scholar 

  19. Pagenstert G, Liebensteiner M. Isolated patellofemoral arthroplasty. Arthroskopie. 2015;28(3):220–8. https://doi.org/10.1007/s00142-015-0029-y.

    Article  Google Scholar 

  20. Imhoff AB, Feucht MJ, Bartsch E, Cotic M, Pogorzelski J. High patient satisfaction with significant improvement in knee function and pain relief after mid-term follow-up in patients with isolated patellofemoral inlay arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019;27:2251–8.

    Article  Google Scholar 

  21. Patel A, Haider Z, Anand A, et al. Early results of patellofemoral inlay resurfacing arthroplasty using the HemiCap wave prosthesis. J Orthop Surg (Hong Kong). 2017;25(1):2309499017692705.

    Article  Google Scholar 

  22. Zicaro JP, Yacuzzi C, Astoul Bonorino J, et al. Patellofemoral arthritis treated with resurfacing implant: clinical outcome and complications at a minimum two-year follow-up. Knee. 2017;24:1485–91.

    Article  Google Scholar 

  23. Laursen JO. High mid-term revision rate after treatment of large, full-thickness cartilage lesions and OA in the patellofemoral joint using a large inlay resurfacing prosthesis: HemiCAPWave(R). Knee Surg Sports Traumatol Arthrosc. 2017;25:3856–61.

    Article  Google Scholar 

  24. Feucht MJ, Cotic M, Beitzel K, et al. A matched-pair comparison of inlay and onlay trochlear designs for patellofemoral arthroplasty: no differences in clinical outcome but less progression of osteoarthritis with inlay designs. Knee Surg Sports Traumatol Arthrosc. 2017;25:2784–91.

    Article  Google Scholar 

  25. 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(10):2554–9.

    Article  Google Scholar 

  26. Tarassoli P, Punwar S, Khan W, Johnstone D. Patellofemoral arthroplasty: a systematic review of the literature. Open Orthop J. 2012;6:340–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Basel, Clarahof Clinic of Orthopaedic Surgery, Merian-Iselin Hospital, Swiss Olympic Medical Center, Basel, Switzerland

    Geert Pagenstert

Authors
  1. Geert Pagenstert
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Geert Pagenstert .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Basel Land, Switzerland

    Michael Tobias Hirschmann

  2. Center of Functional and Biological Reconstruction of the Knee, Humanitas University, Humanitas Research Hospital, Milan, Italy

    Elizaveta Kon

  3. Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden

    Kristian Samuelsson

  4. Istituto Ortopedico Galeazzi, Milano, Italy

    Matteo Denti

  5. Department of Orthopaedics, Lyon Ortho Clinic, LYON, France

    David Dejour

Rights and permissions

Reprints and permissions

Copyright information

© 2020 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Pagenstert, G. (2020). Inlay Patellofemoral Arthroplasty. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61264-4_32

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation