Patellofemoral arthroplasty versus total knee arthroplasty in patients with isolated patellofemoral osteoarthritis.

Diane L. Dahm, Walid Al-Rayashi, Khaled Dajani, Jay P. Shah, Bruce A. Levy, Michael J. Stuart

Research output: Contribution to journalArticle

68 Scopus citations

Abstract

We identified all patients at our institution who underwent patellofemoral arthroplasty (PFA) or total knee arthroplasty (TKA) as treatment for isolated patellofemoral arthritis (PA) between January 2003 and December 2005. Twenty-three PFA and 22 TKA patients met inclusion criteria. Mean age was 60 years and 69 years, respectively (P = .01). Mean follow-up was 29 months (range, 24 to 49 months) in the PFA group and 27 months (range, 24 to 33 months) in the TKA group. Mean postoperative Knee Society Clinical Rating System scores were 89 and 90 in the PFA and TKA cohorts, respectively. Mean UCLA scores were 6.6 and 4.2, respectively (P<.0001). Mean blood loss (P = .03) and hospital stay (P = .001) were significantly lower among PFA patients. Linear regression analysis showed that blood loss, hospital stay, and functional outcomes were not affected by age as an independent variable. No significant complications occurred in the PFA group. There was one deep vein thrombosis in the TKA group. We conclude that PFA yields clinical outcomes comparable to that of TKA as treatment for isolated PA and may be a less invasive option for this select subgroup of patients.

Original languageEnglish (US)
Pages (from-to)487-491
Number of pages5
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume39
Issue number10
StatePublished - Oct 1 2010

ASJC Scopus subject areas

  • Medicine(all)

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