ArticleInternational orthopaedics2017
Optimizing patellar positioning during total knee arthroplasty: an anatomical and clinical study.
Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 13 citations in OpenAlex.
- Article
- Patellar component positioning in total knee arthroplasty: a cadaver study and review of the literature.Archives of orthopaedic and trauma surgery · 2024Review
- Relationships between position of patellar ridge high point and morphology of resected surface for patellar resurfacing in total knee arthroplasty.Quantitative imaging in medicine and surgery · 2023Article
- Factors that impact the patellofemoral contact stress in the TKA: a review.Arthroplasty (London, England) · 2023Review
- [Digital study on the relationship between position of patellar high point and shape of osteotomy surface in Chinese].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning.Journal of healthcare engineering · 2021Article
- Patellar tendon shortening following patellofemoral joint replacement.International orthopaedics · 2019Article
- Predictors for secondary patellar resurfacing after primary total knee arthroplasty using a "patella-friendly" total knee arthroplasty system.International orthopaedics · 2019Article
- The predictive factors of secondary patellar resurfacing in computer-assisted total knee arthroplasty. A prospective cohort study.International orthopaedics · 2018Article
- Novel anatomical-based surgical technique for positioning of the patellar component in total knee arthroplasty.SICOT-J · 2017Article
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOptimal positioning of the patellar component is crucial for the success of a total knee arthroplasty (TKA). Usually, the patellar component is placed empirically over the presumed centre of the patellar cut. Medialization of the prosthetic patella has been recommended; however, no evidence-based guidelines have been reported. MATERIAL AND
methodThis anatomical study aims to quantify a pre-defined optimal location for positioning of the patellar component with regard to the centre of the patellar cut. Intra-operative measurements of the patellar cut of a series of 129 TKA were conducted in order to measure the distance between the optimal centre of prosthetic patella (OCPP) and the centre of the patellar cut, and that over the vertical (proximal-distal) axis and the horizontal axis (medial-lateral).
resultsOur results demonstrated that, (a) a significant morphological difference of the patellar cut exists between men and women (P < 0.0001), and (b) with reference to centre of the patellar cut, the OCPP lies superiorly and medially in 89%, inferiorly and medially in 9.4%, laterally and superiorly in 1.6%, and in no case laterally and inferiorly. No anterior pain, dislocation episode or patellar revision has been encountered during a follow-up of 4.5 years.
conclusionsThe placement of the patellar component during TKA differs from one patella to another. Thus, by defining the OCPP on a patient-by-patient basis, the surgeon should be able to reproduce the functional anatomy of the native patella.
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