Maquet osteotomy for isolated patellofemoral arthritis, a forgotten surgical technique.

Abstract

Abstract: Maquet osteotomy for isolated patellofemoral arthritis, a forgotten surgical technique. Objective. The aim of our study is in the physiologically younger patinets who had anterior knee pain does not resolve with conservative treatment, report the results of Maquet osteotomy. Materials and Methods. We performed a retrospective review of 11 consecutive patients (5 [45.5%] males, 6 [54.5%] females; mean age, 51.8 years) who underwent Maquet osteotomy for isolated patellofemoral osteoarthritis between May 2017 and August 2018. Thirteen osteotomies were performed in 11 patients; 2 patients underwent bilateral procedures. All patients were clinically rated before surgery and at the final follow-up using International Knee Documentation Committee Subjective Knee Evaluation Form (IKDC 2000) and the Kujala Anterior Knee Pain Scale. Also complications were reported. Results. The median follow-up duration was 25 (range=19-33) months. The median preoperative IKDC score was 50 (range = 42-54) points, which had increased to 67 (range=61-72) points at the final follow-up visit (p<.001). The median preoperative Kujala score was 59 (range=48-65) points, which had increased to 77 (range = 67-86) points at the final follow-up (p<.001). We observed 1 major and 1 minor complication in 13 procedures. Conclusion. Although it looks like an extensile surgery, Maquet osteotomy is applicable, safe, easy and a strong alternative for arthroplasty in patellofemoral arthritis.