Abstract
Aim: In tricompartmental osteoarthritis of the knee, the patellofemoral articulation is severely affected due to degenerative changes. Patellaplasty is done as a part of total knee arthroplasty in these cases to smoothen the articular surface of patella. However, an ideal technique with easy reproducibility has been scarcely reported for the same. Method: We describe a method of using electrocautery and power saw with thin blades for patellaplasty. Results: Using this technique, we have produced results, which are comparable with cases where patellar resurfacing has been done. Conclusion: This described method for patellaplasty is easy with good reproducibility.
Highlights
There has been significant progress in surgical design and technique, which has led to improved function for patients after total knee arthroplasty (TKA)
The problems related to the patellofemoral joint in unresurfaced patellae [2] such as progressive degenerative changes on the lateral facet occurred in 85% of patellae [3] [4], and the increased incidence of anterior knee pain [5] have not been eliminated
We describe a technique for patellaplasty using electrocautery and power saw
Summary
There has been significant progress in surgical design and technique, which has led to improved function for patients after total knee arthroplasty (TKA). The problems related to the patellofemoral joint in unresurfaced patellae [2] such as progressive degenerative changes on the lateral facet occurred in 85% of patellae [3] [4], and the increased incidence of anterior knee pain [5] have not been eliminated. These lead to continued symptoms and reduced quality of life for the patient [6] [7]. (2015) Patellaplasty, as an Alternative to Replacing Patella in Total Knee Arthroplasty. We describe a technique for patellaplasty using electrocautery and power saw
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