Abstract
In the past, patellectomy used to be the mainstay of treatment for multitude of patellofemoral problems including arthritis, recurrent dislocation, comminuted fracture etc. such patients are prone to early OA, and the result of a TKR can be compromised due to absence of patella. We report a patient with previous bilateral patellectomy, who underwent bilateral total knee replacement. We refashioned the patella using posterior condyle cut, and achieved a better cosmetic and functional result. We believe this technique avoids the cost and potential problems associated with patellar allograft, with a similar, if not superior functional result.
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