Comparison of Patella Resurfacing and Patelloplasty in Operated Bilateral Total Knee Replacement

Dr. Kevin Rajesh Choksey; Dr. H.P. Bhalodiya; Dr. Z.M.Patel; Dr. Hiren K. Patel; Dr. Aditya Banta; Dr. Shaival S Dalal

Volume : III, Issue : XI, November - 2014

Comparison of Patella Resurfacing and Patelloplasty in Operated Bilateral Total Knee Replacement

Dr. Kevin Rajesh Choksey, Dr. H. P. Bhalodiya, Dr. Z. M. Patel, Dr. Hiren K. Patel, Dr. Aditya Banta, Dr. Shaival S Dalal

Abstract :

Up to 20% of patients are not satisfied with the outcome following total knee replacement (TKR), because of many factors, an important one being patellofemoral joint. The aim of this study was to study and compare the outcomes of patella resurfacing and modified patelloplasty in controlled matched group of patients. 40 patients had staged bilateral total knee replacement surgery and kept blinded to which side patella resurfacing was done. Patella resurfacing was done always on side operated second. In followup, patients were examined for anterior knee pain, range of motion, Standard radiographs, KSS, VAS score, and Feller patellar scores were calculated. There was no significant difference between both groups in terms of scores, function and radiographic alignment. The results of patelloplasty were as good as resurfacing & in case of persistent anterior knee pain it offers option of secondary resurfacing, also avoiding complications associated with resurfacing.