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dc.contributor.authorAssiotis, Angelosen
dc.contributor.authorTo, Kendricken
dc.contributor.authorMorgan-Jones, Rhidianen
dc.contributor.authorPengas, Ioannis Pen
dc.contributor.authorKhan, Wasimen
dc.date.accessioned2019-07-25T23:30:32Z
dc.date.available2019-07-25T23:30:32Z
dc.date.issued2019-12en
dc.identifier.issn1633-8065
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/294921
dc.description.abstractTotal knee arthroplasty is a common operation for treating patients with end stage knee osteoarthritis and generally has a good outcome. There are several complications that may necessitate revision of the implants. Patella related complications are difficult to treat and their consequences impact the longevity of the implanted joint and functional outcomes. In this review, we explore the current literature on patellar complications in total knee arthroplasty and identify risk factors as well as strategies that can help in preventing these complications. We present pertinent findings relating to patellar complications. They can be classified into bony or soft tissue complications and include bone loss, aseptic loosening, periprosthetic fractures, patella fracture, patellar clunk syndrome, patellofemoral instability, extensor mechanism complications, maltracking, patella baja and malrotation. We conclude that patellar complications in total knee arthroplasty are common and have significant implications for the functional outcome of total knee arthroplasty. A high index of suspicion should be maintained in order to avoid them. Implant malpositioning and other forms of intraoperative technical error are the main cause of these complications and therefore primary prevention is crucial. When dealing with these established problems, a clear plan of action should be formulated in advance to allow appropriate management as well as anticipation of adverse outcomes.
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.publisherSpringer Verlag
dc.rightsAll rights reserved
dc.subjectPatellaen
dc.subjectHumansen
dc.subjectProsthesis Failureen
dc.subjectArthroplasty, Replacement, Kneeen
dc.subjectRisk Factorsen
dc.subjectKnee Prosthesisen
dc.subjectFractures, Boneen
dc.subjectPeriprosthetic Fracturesen
dc.subjectPatellofemoral Jointen
dc.subjectJoint Dislocationsen
dc.titlePatellar complications following total knee arthroplasty: a review of the current literature.en
dc.typeArticle
prism.endingPage1615
prism.issueIdentifier8en
prism.publicationDate2019en
prism.publicationNameEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologieen
prism.startingPage1605
prism.volume29en
dc.identifier.doi10.17863/CAM.42008
dcterms.dateAccepted2019-07-09en
rioxxterms.versionofrecord10.1007/s00590-019-02499-zen
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2019-12en
dc.contributor.orcidKhan, Wasim [0000-0003-3106-5424]
dc.identifier.eissn1432-1068
rioxxterms.typeJournal Article/Reviewen
cam.orpheus.successThu Jan 30 10:42:57 GMT 2020 - Embargo updated*
rioxxterms.freetoread.startdate2020-12-31


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