This study aimed to investigate the relationship between changes in patellar height and clinical outcomes at a mean follow-up of 7.7 years (5 to 10) after fixed-bearing posterior-stabilized total knee arthroplasty (PS-TKA). We retrospectively evaluated knee radiographs of 165 knees, which underwent fixed-bearing PS-TKA with patella resurfacing. The incidence of patella baja and changes in patellar height over a minimum of five years of follow-up were determined using Insall-Salvati ratio (ISR) measurement. We examined whether patella baja (ISR < 0.8) at final follow-up affected clinical outcomes, knee joint range of motion (ROM), and Knee Society Score (KSS). We also assessed inter- and intrarater reliability of ISR measurements and focused on the relationship between patellar height reduction beyond measurement error and clinical outcomes.Aims
Methods
Preservation of posterior condylar offset (PCO) has been shown to correlate with improved functional results after primary total knee arthroplasty (TKA). Whether this is also the case for revision TKA, remains unknown. The aim of this study was to assess the independent effect of PCO on early functional outcome after revision TKA. A total of 107 consecutive aseptic revision TKAs were performed by a single surgeon during an eight-year period. The mean age was 69.4 years (39 to 85) and there were 59 female patients and 48 male patients. The Oxford Knee Score (OKS) and Short-form (SF)-12 score were assessed pre-operatively and one year post-operatively. Patient satisfaction was also assessed at one year. Joint line and PCO were assessed radiographically at one year.Objectives
Methods
The cementless Oxford unicompartmental knee replacement
has been demonstrated to have superior fixation on radiographs and
a similar early complication rate compared with the cemented version.
However, a small number of cases have come to our attention where,
after an apparently successful procedure, the tibial component subsides into
a valgus position with an increased posterior slope, before becoming
well-fixed. We present the clinical and radiological findings of
these six patients and describe their natural history and the likely
causes. Two underwent revision in the early post-operative period,
and in four the implant stabilised and became well-fixed radiologically with
a good functional outcome. This situation appears to be avoidable by minor modifications
to the operative technique, and it appears that it can be treated
conservatively in most patients. Cite this article:
