Download PDF
J Knee Surg 2023; 36(07): 773-778
DOI: 10.1055/s-0042-1743226
Original Article

Lateral Patellar Facetectomy Reduces the Incidence of Anterior Knee Pain in Patellar Resurfaced Total Knee Arthroplasty

Masaki Nagashima
1   Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Narita City, Chiba, Japan
2   Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Minato-ku, Tokyo, Japan
,
Toshiro Otani
3   Department of Orthopaedic Surgery, International University of Health and Welfare Ichikawa Hospital, Ichikawa City, Chiba, Japan
,
Kengo Harato 
4   Department of Orthopaedic Surgery, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan
,
Ryo Sasaki
2   Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Minato-ku, Tokyo, Japan
,
Hiroyuki Seki
1   Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Narita City, Chiba, Japan
2   Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Minato-ku, Tokyo, Japan
,
Kenichiro Takeshima
1   Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Narita City, Chiba, Japan
2   Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Minato-ku, Tokyo, Japan
5   Department of Orthopaedic Surgery, International University of Health and Welfare Narita Hospital, Narita City, Chiba, Japan
,
Ken Ishii
1   Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Narita City, Chiba, Japan
2   Department of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, Minato-ku, Tokyo, Japan
5   Department of Orthopaedic Surgery, International University of Health and Welfare Narita Hospital, Narita City, Chiba, Japan
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

Lateral patellar facet impingement (LPFI) can cause anterior knee pain (AKP) after patellar resurfaced total knee arthroplasty (TKA). Recently, lateral patellar facetectomy (LPF), which has been used for LPFI, has been performed during primary TKA, providing good clinical outcomes. However, the effect of LPF on AKP in primary patellar resurfaced TKA has not been sufficiently studied. The purpose of this study was to examine the effect of LPF on the development of AKP in patellar resurfaced TKAs with minimum follow-up of 3 years. This retrospective cohort study included 84 knees of 66 consecutive patients who underwent patellar resurfaced TKA between April 2007 and November 2014 in our hospital. The subjects were divided into two groups: TKA with LPF (LPF group; 47 knees) and TKA without LPF (no-LPF group; 37 knees). Postoperative AKP, the primary outcome, the Japanese Orthopaedic Association (JOA) score, and range of motion were investigated at the final visit and compared between the two groups. Six knees (16.2%) had AKP in the no-LPF group, whereas none of the knees had AKP in the LPF group at the final visit. The incidence of AKP was significantly lower in the LPF group (p = 0.004). The postoperative JOA score and flexion angle were significantly higher in the LPF group than in the no-LPF group. LPF correlated with less incidence of postoperative AKP and improved the JOA score and knee flexion angle. In patellar resurfaced TKA, LPF may be considered an additional maneuver to avoid postoperative AKP.

Keywords

total knee arthroplasty - anterior knee pain - lateral patellar facet impingement - lateral patellar facetectomy


Publication History

Received: 05 September 2020

Accepted: 09 January 2022

Article published online:
21 February 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Lim HA, Song EK, Seon JK, Park KS, Shin YJ, Yang HY. Causes of aseptic persistent pain after total knee arthroplasty. Clin Orthop Surg 2017; 9 (01) 50-56
    CrossrefPubMedGoogle Scholar
  • 2 Mandalia V, Eyres K, Schranz P, Toms AD. Evaluation of patients with a painful total knee replacement. J Bone Joint Surg Br 2008; 90 (03) 265-271
    CrossrefPubMedGoogle Scholar
  • 3 Baker PN, van der Meulen JH, Lewsey J, Gregg PJ. National Joint Registry for England and Wales, Data from the National Joint Registry for England and Wales. The role of pain and function in determining patient satisfaction after total knee replacement. J Bone Joint Surg Br 2007; 89 (07) 893-900
    CrossrefPubMedGoogle Scholar
  • 4 Campbell DG, Duncan WW, Ashworth M. et al. Patellar resurfacing in total knee replacement: a ten-year randomised prospective trial. J Bone Joint Surg Br 2006; 88 (06) 734-739
    CrossrefPubMedGoogle Scholar
  • 5 Sensi L, Buzzi R, Giron F, De Luca L, Aglietti P. Patellofemoral function after total knee arthroplasty: gender-related differences. J Arthroplasty 2011; 26 (08) 1475-1480
    CrossrefPubMedGoogle Scholar
  • 6 White PB, Sharma M, Siddiqi A, Satalich JR, Ranawat AS, Ranawat CS. Role of anatomical patella replacement on anterior knee pain. J Arthroplasty 2019; 34 (05) 887-892
    CrossrefPubMedGoogle Scholar
  • 7 Petersen W, Rembitzki IV, Brüggemann GP. et al. Anterior knee pain after total knee arthroplasty: a narrative review. Int Orthop 2014; 38 (02) 319-328
    CrossrefPubMedGoogle Scholar
  • 8 Shervin D, Pratt K, Healey T. et al. Anterior knee pain following primary total knee arthroplasty. World J Orthop 2015; 6 (10) 795-803
    CrossrefPubMedGoogle Scholar
  • 9 Nikolaus OB, Larson DR, Hanssen AD, Trousdale RT, Sierra RJ. Lateral patellar facet impingement after primary total knee arthroplasty: it does exist. J Arthroplasty 2014; 29 (05) 970-976
    CrossrefPubMedGoogle Scholar
  • 10 Doerr TE, Eckhoff DG. Lateral patellar burnishing in total knee arthroplasty following medialization of the patellar button. J Arthroplasty 1995; 10 (04) 540-542
    CrossrefPubMedGoogle Scholar
  • 11 Pagenstert G, Seelhoff J, Henninger HB, Wirtz DC, Valderrabano V, Barg A. Lateral patellar facetectomy and medial reefing in patients with lateral facet syndrome after patellar-retaining total knee arthroplasty. J Arthroplasty 2014; 29 (11) 2156-2162
    CrossrefPubMedGoogle Scholar
  • 12 Cercek R, Jacofsky D, Kieffer K, Larsen B, Jacofsky M. Lateral patellofemoral impingement: a cause of treatable pain after TKA. J Knee Surg 2011; 24 (03) 181-184
    Article in Thieme ConnectPubMedGoogle Scholar
  • 13 Yuenyongviwat V, Iamthanaporn K, Hongnaparak T. Lateral facetectomy decreased patellofemoral contact pressure in total knee replacement: a cadaveric study. J Clin Orthop Trauma 2017; 8 (01) 82-84
    CrossrefPubMedGoogle Scholar
  • 14 Wetzels T, Bellemans J. Patellofemoral osteoarthritis treated by partial lateral facetectomy: results at long-term follow up. Knee 2012; 19 (04) 411-415
    CrossrefPubMedGoogle Scholar
  • 15 Zhang LZ, Zhang XL, Jiang Y, Wang Q, Chen YS, Shen H. Lateral patellar facetectomy had improved clinical results in patients with patellar-retaining total knee arthroplasty. J Arthroplasty 2012; 27 (08) 1442-1447
    CrossrefPubMedGoogle Scholar
  • 16 Kim CW, Lee CR, Seo SS, Gwak HC, Kim JH, Park JH. Clinical and radiologic outcomes of partial lateral patellar facetectomy in total knee arthroplasty. J Knee Surg 2017; 30 (02) 185-192
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Chalidis BE, Tsiridis E, Tragas AA, Stavrou Z, Giannoudis PV. Management of periprosthetic patellar fractures. A systematic review of literature. Injury 2007; 38 (06) 714-724
    CrossrefPubMedGoogle Scholar
  • 18 Tanikawa H, Tada M, Harato K, Okuma K, Nagura T. Influence of total knee arthroplasty on patellar kinematics and patellofemoral pressure. J Arthroplasty 2017; 32 (01) 280-285
    CrossrefPubMedGoogle Scholar
  • 19 Akagi M, Oh M, Nonaka T, Tsujimoto H, Asano T, Hamanishi C. An anteroposterior axis of the tibia for total knee arthroplasty. Clin Orthop Relat Res 2004; (420) 213-219
    CrossrefPubMedGoogle Scholar
  • 20 Yoshii I, Whiteside LA, Anouchi YS. The effect of patellar button placement and femoral component design on patellar tracking in total knee arthroplasty. Clin Orthop Relat Res 1992; (275) 211-219
    PubMedGoogle Scholar
  • 21 Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 1989; (248) 13-14
    PubMedGoogle Scholar
  • 22 Okuda M, Omokawa S, Okahashi K, Akahane M, Tanaka Y. Validity and reliability of the Japanese Orthopaedic Association score for osteoarthritic knees. J Orthop Sci 2012; 17 (06) 750-756
    CrossrefPubMedGoogle Scholar
  • 23 Ewald FC. The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop Relat Res 1989; (248) 9-12
    PubMedGoogle Scholar
  • 24 Meneghini RM, Mont MA, Backstein DB, Bourne RB, Dennis DA, Scuderi GR. Development of a modern Knee Society radiographic evaluation system and methodology for total knee arthroplasty. J Arthroplasty 2015; 30 (12) 2311-2314
    CrossrefPubMedGoogle Scholar
  • 25 Ishihara S, Nagashima M, Fujii T. et al. Osteotomy of the lateral part of the patellar that was not covered by the patellar component for anterior knee pain after total knee arthroplasty - a case report [in Japanese]. Japanese J Joint Disease 2015; 34 (02) 195-198
    PubMedGoogle Scholar
  • 26 Lakstein D, Naser M, Adar E, Atoun E, Edelman A, Hendel D. Partial lateral patellar facetectomy as an alternative to lateral release in total knee arthroplasty (TKA). J Arthroplasty 2014; 29 (11) 2146-2149
    CrossrefPubMedGoogle Scholar
  • 27 Matsumoto T, Shibanuma N, Takayama K. et al. The influence of intraoperative soft tissue balance on patellar pressure in posterior-stabilized total knee arthroplasty. Knee 2016; 23 (03) 540-544
    CrossrefPubMedGoogle Scholar
  • 28 Terashima T, Onodera T, Sawaguchi N, Kasahara Y, Majima T. External rotation of the femoral component decreases patellofemoral contact stress in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2015; 23 (11) 3266-3272
    CrossrefPubMedGoogle Scholar
  • 29 Muraki S, Oka H, Akune T. et al. Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: the ROAD study. Osteoarthritis Cartilage 2009; 17 (09) 1137-1143
    CrossrefPubMedGoogle Scholar