Does patellofemoral congruence following total knee arthroplasty correlate with pain or function? Intraoperative arthroscopic assessment of 30 cases.
Identifieur interne : 000019 ( PubMed/Corpus ); précédent : 000018; suivant : 000020Does patellofemoral congruence following total knee arthroplasty correlate with pain or function? Intraoperative arthroscopic assessment of 30 cases.
Auteurs : Antoine Senioris ; Mo Saffarini ; Said Rahali ; Louis Malekpour ; Franck Dujardin ; Olivier CourageSource :
- Annals of translational medicine [ 2305-5839 ] ; 2016.
Abstract
Anterior knee pain (AKP) is observed in total knee arthroplasty (TKA) both with and without patellar resurfacing, and neither patellar denervation nor secondary resurfacing are effective for treating the symptoms. The exact causes for pain remain unclear, though abnormal patellofemoral forces due to patellar malalignment or inadequate implant design can play an important role. The purpose of this study was to arthroscopically evaluate patellofemoral congruence after wound closure following TKA without patellar resurfacing and correlate it to patellar morphology and postoperative pain and function.
DOI: 10.21037/atm.2016.07.21
PubMed: 27570773
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Does patellofemoral congruence following total knee arthroplasty correlate with pain or function? Intraoperative arthroscopic assessment of 30 cases.</title><author><name sortKey="Senioris, Antoine" sort="Senioris, Antoine" uniqKey="Senioris A" first="Antoine" last="Senioris">Antoine Senioris</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Saffarini, Mo" sort="Saffarini, Mo" uniqKey="Saffarini M" first="Mo" last="Saffarini">Mo Saffarini</name><affiliation><nlm:affiliation>Department of Medical Research, Alliance Scientifique SAS, Lyon, France; ; Department of Medical Technology, Accelerate Innovation Management SA, Geneva, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Rahali, Said" sort="Rahali, Said" uniqKey="Rahali S" first="Said" last="Rahali">Said Rahali</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Malekpour, Louis" sort="Malekpour, Louis" uniqKey="Malekpour L" first="Louis" last="Malekpour">Louis Malekpour</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Dujardin, Franck" sort="Dujardin, Franck" uniqKey="Dujardin F" first="Franck" last="Dujardin">Franck Dujardin</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France ;</nlm:affiliation></affiliation></author><author><name sortKey="Courage, Olivier" sort="Courage, Olivier" uniqKey="Courage O" first="Olivier" last="Courage">Olivier Courage</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France ;</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27570773</idno><idno type="pmid">27570773</idno><idno type="doi">10.21037/atm.2016.07.21</idno><idno type="wicri:Area/PubMed/Corpus">000019</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Does patellofemoral congruence following total knee arthroplasty correlate with pain or function? Intraoperative arthroscopic assessment of 30 cases.</title><author><name sortKey="Senioris, Antoine" sort="Senioris, Antoine" uniqKey="Senioris A" first="Antoine" last="Senioris">Antoine Senioris</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Saffarini, Mo" sort="Saffarini, Mo" uniqKey="Saffarini M" first="Mo" last="Saffarini">Mo Saffarini</name><affiliation><nlm:affiliation>Department of Medical Research, Alliance Scientifique SAS, Lyon, France; ; Department of Medical Technology, Accelerate Innovation Management SA, Geneva, Switzerland.</nlm:affiliation></affiliation></author><author><name sortKey="Rahali, Said" sort="Rahali, Said" uniqKey="Rahali S" first="Said" last="Rahali">Said Rahali</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Malekpour, Louis" sort="Malekpour, Louis" uniqKey="Malekpour L" first="Louis" last="Malekpour">Louis Malekpour</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</nlm:affiliation></affiliation></author><author><name sortKey="Dujardin, Franck" sort="Dujardin, Franck" uniqKey="Dujardin F" first="Franck" last="Dujardin">Franck Dujardin</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France ;</nlm:affiliation></affiliation></author><author><name sortKey="Courage, Olivier" sort="Courage, Olivier" uniqKey="Courage O" first="Olivier" last="Courage">Olivier Courage</name><affiliation><nlm:affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France ;</nlm:affiliation></affiliation></author></analytic><series><title level="j">Annals of translational medicine</title><idno type="ISSN">2305-5839</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Anterior knee pain (AKP) is observed in total knee arthroplasty (TKA) both with and without patellar resurfacing, and neither patellar denervation nor secondary resurfacing are effective for treating the symptoms. The exact causes for pain remain unclear, though abnormal patellofemoral forces due to patellar malalignment or inadequate implant design can play an important role. The purpose of this study was to arthroscopically evaluate patellofemoral congruence after wound closure following TKA without patellar resurfacing and correlate it to patellar morphology and postoperative pain and function.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27570773</PMID><DateCreated><Year>2016</Year><Month>8</Month><Day>29</Day></DateCreated><DateCompleted><Year>2016</Year><Month>08</Month><Day>29</Day></DateCompleted><DateRevised><Year>2016</Year><Month>8</Month><Day>31</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">2305-5839</ISSN><JournalIssue CitedMedium="Print"><Volume>4</Volume><Issue>15</Issue><PubDate><Year>2016</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Annals of translational medicine</Title><ISOAbbreviation>Ann Transl Med</ISOAbbreviation></Journal><ArticleTitle>Does patellofemoral congruence following total knee arthroplasty correlate with pain or function? Intraoperative arthroscopic assessment of 30 cases.</ArticleTitle><Pagination><MedlinePgn>279</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.21037/atm.2016.07.21</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Anterior knee pain (AKP) is observed in total knee arthroplasty (TKA) both with and without patellar resurfacing, and neither patellar denervation nor secondary resurfacing are effective for treating the symptoms. The exact causes for pain remain unclear, though abnormal patellofemoral forces due to patellar malalignment or inadequate implant design can play an important role. The purpose of this study was to arthroscopically evaluate patellofemoral congruence after wound closure following TKA without patellar resurfacing and correlate it to patellar morphology and postoperative pain and function.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The authors prospectively studied 30 patients that received uncemented mobile-bearing TKA. Patellofemoral congruence was assessed arthroscopically after wound closure by estimating the contact area between the native patella and the prosthetic trochlea (> two-thirds, > one-third, < one-third). The findings were correlated to preoperative assessments of patellar geometry (Wiberg classification using X-rays) and clinical outcomes [Knee Society Score (KSS), AKP on Visual Analogic Scale (VAS), and patient satisfaction].</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Knees of 22 women and 8 men aged 69.8 years (range, 61-84 years) were analyzed at 16 months (range, 12-23 months). Preoperative patellar geometry was Wiberg type A in 11, type B in 12 and type C in 7 knees. Postoperative KSS was 79.1 (range, 50.0-94) and the VAS for AKP was 1.6±1.3 (median, 1; range, 0-5). Patellar congruence was correlated with patellar morphology (P<0.001) but not correlated with any clinical outcomes (KSS, VAS or satisfaction). There were also no statistical correlations between patellar morphology or patellofemoral congruence and patient characteristics.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">While patellar morphology and patellofemoral congruence are strongly related, they are not associated with clinical outcomes or patient demographics. Considering that numerous incongruent patellofemoral joints were pain-free, and conversely, many perfectly congruent patellofemoral joints had anterior pain, the authors suppose that pain is probably caused by mechanisms other than patellofemoral pressures.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Senioris</LastName><ForeName>Antoine</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saffarini</LastName><ForeName>Mo</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Medical Research, Alliance Scientifique SAS, Lyon, France; ; Department of Medical Technology, Accelerate Innovation Management SA, Geneva, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rahali</LastName><ForeName>Said</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Malekpour</LastName><ForeName>Louis</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France; ; Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dujardin</LastName><ForeName>Franck</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Rouen University Hospital, Rouen, France ;</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Courage</LastName><ForeName>Olivier</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Orthopaedic Surgery, Ramsay Générale de Santé, Hôpital Privé de l'Estuaire, Le Havre, France ;</Affiliation></AffiliationInfo></Author></AuthorList><Language>ENG</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Ann Transl Med</MedlineTA><NlmUniqueID>101617978</NlmUniqueID><ISSNLinking>2305-5839</ISSNLinking></MedlineJournalInfo><OtherID Source="NLM">PMC4980378</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Total knee arthroplasty (TKA)</Keyword><Keyword MajorTopicYN="N">Wiberg type</Keyword><Keyword MajorTopicYN="N">anterior knee pain (AKP)</Keyword><Keyword MajorTopicYN="N">patellar morphology</Keyword><Keyword MajorTopicYN="N">patellofemoral congruence</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>8</Month><Day>30</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27570773</ArticleId><ArticleId IdType="doi">10.21037/atm.2016.07.21</ArticleId><ArticleId IdType="pii">atm-04-15-279</ArticleId><ArticleId IdType="pmc">PMC4980378</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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