The Journal of Bone and Joint Surgery (American). 2006;88:1849-1860.
doi:10.2106/JBJS.E.01394
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Current Concepts Review

Patellofemoral Arthritis

Ronald P. Grelsamer, MD1 and Drew A. Stein, MD2

1 Mount Sinai Medical School, 5 East 98th Street, Box 1188, New York, NY 10029. E-mail address for R.P. Grelsamer: RGrelsamer{at}aol.com
2 927 49th Street, Brooklyn, NY, 11219

The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The surgeon must determine whether patellofemoral arthritis is the primary source of a patient's knee pain and whether the arthritis is truly unicompartmental.

An anteromedial osteotomy of the tibial tuberosity is most effective when the arthritis is localized to the distallateral portion of the patellofemoral compartment. It is least effective when there is global arthritis of the patellofemoral articulation.

Total knee arthroplasty is an effective treatment for patellofemoral arthritis.

Patellofemoral replacement can be considered for selected patients.

A major reason for poor results after patellofemoral replacement and patellectomy procedures is the development of femorotibial arthritis.


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