Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Feb;21(2):332-9.
doi: 10.1007/s00167-012-2022-6. Epub 2012 May 1.

Prospective clinical and radiological two-year results after patellofemoral arthroplasty using an implant with an asymmetric trochlea design

Knut Beitzel  1 , Philip B Schöttle, Matthias Cotic, Vyas Dharmesh, Andreas B Imhoff
Affiliations

Prospective clinical and radiological two-year results after patellofemoral arthroplasty using an implant with an asymmetric trochlea design

Knut Beitzel et al. Knee Surg Sports Traumatol Arthrosc. 2013 Feb.

Abstract

Purpose: The purpose was to prospectively evaluate the two-year results after implantation of the Journey PFJ(®) (Smith & Nephew, Andover, MA). The authors hypothesized that patellofemoral arthroplasty would result in improved outcomes after 24 months in patients treated with an isolated procedure as well as in patients demonstrating concomitant patellofemoral instability (PFI), which were treated with a combined surgical procedure.

Methods: Patients were included between 02/2006 and 08/2008. According to the history and clinical findings, patients were grouped into group I with no history or clinical signs of PFI, and patients with concomitant PFI were assorted to group II. Patients were then treated with an isolated (group I) or a combined (group II) surgical procedure to additionally treat the PFI. Visual analogue scale (VAS), Lysholm score and WOMAC score were recorded preoperatively, 6, 12 and 24 months postoperatively. Patellar height was evaluated according to the index of Caton-Deschamps (CDI), and osteoarthritic changes were evaluated according to Kellgren and Lawrence.

Results: A total of 25 patients were enrolled, of them three discontinued interventions and were excluded from final analysis. An isolated implantation of the Journey PFJ(®) was performed in 14 patients (group I) and a combined procedure in 8 (group II). Daily pain and clinical scores significantly improved at 6, 12 and 24 months compared to preoperative values (P < 0.05). Significant decrease (P = 0.02) of mean CDI could be noticed. Significant increase in tibiofemoral OA within the medial but not in the lateral tibiofemoral joint was assessed (P = 0.011; n.s.).

Conclusions: Patellofemoral arthroplasty using the Journey(®) PFJ for treatment of significant patellofemoral OA demonstrated improved clinical scores at the 2-year follow-up in both groups. Comparing the primary OA (I) and OA + instability (II) groups, patients with patellofemoral OA treated with a combined procedure for concomitant stabilization of patellofemoral instability may benefit more from such a combined procedure, than patients treated with an isolated procedure for treatment of isolated patellofemoral OA.

Level of evidence: Prospective case series, Level III.

PubMed Disclaimer

References

    1. Arch Orthop Trauma Surg. 2009 Mar;129(3):305-9 - PubMed
    1. Sports Med Arthrosc Rev. 2007 Jun;15(2):48-56 - PubMed
    1. BMC Musculoskelet Disord. 2011 Nov 23;12:265 - PubMed
    1. J Rheumatol. 1988 Dec;15(12):1833-40 - PubMed
    1. Orthopade. 2011 Apr;40(4):353-68; quiz 369-70 - PubMed

Publication types

LinkOut - more resources