The Journal of Bone and Joint Surgery (American). 2006;88:122-137.
doi:10.2106/JBJS.F.00856
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Indications, Contraindications, and Pitfalls of Patellofemoral Arthroplasty

Wayne B. Leadbetter, MD, Thorsten M. Seyler, MD, Phillip S. Ragland, MD and Michael A. Mont, MD

Corresponding author:
Wayne B. Leadbetter, MD
Rubin Institute for Advanced Orthopedics, Center for Joint Preservation
and Replacement, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue,
Baltimore, MD 21215. E-mail address: leadbettermd@aol.com

The first 150 words of the full text of this article appear below.


   Introduction
 
Recently, there has been renewed interest in patellofemoral arthroplasty, with the development of newer designs that have produced more consistent outcomes; however, historically, the reported results of this procedure have varied widely1. The purpose of this article is to analyze trends in the published results of this procedure, to identify critical factors contributing to the success or failure of these operations, and to relate the initial lessons that we have learned from our six-year clinical experience with the Avon patellofemoral arthroplasty (Stryker Orthopaedics, Mahwah, New Jersey). Indications, contraindications, mid-term follow-up results, and ways to avoid pitfalls are delineated.

It is our intent that, with this information, surgeons will have a more critical view when considering patellofemoral arthroplasty for salvage in patients with isolated patellofemoral arthritis or advanced, refractory, symptomatic patellofemoral chondromalacia.


   Historical Background
 
In 1955, McKeever described the first successful attempt at prosthetic salvage in patients with symptomatic isolated patellofemoral degenerative . . . [Full Text of this Article]


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[Abstract] [Full Text] [PDF]