Orthopedic Clinics of North America Vol 39 Issue 03 2008 Painful degenerative patellofemoral Joint

Preface......Page 1
Malalignment......Page 2
Patellofemoral dysplasia......Page 3
Obesity......Page 5
References......Page 6
Overall approach......Page 8
Soft tissue flexibility considerations......Page 10
Muscle strength considerations......Page 11
Role of taping......Page 15
Summary......Page 17
References......Page 18
Skeletal malalignment treatments......Page 19
Instability treatments......Page 22
Arthrosis (cartilage loss) treatments......Page 24
Biomechanics......Page 25
Anatomy......Page 26
Evaluate the skeleton......Page 27
Evaluate patellofemoral ligaments......Page 32
Summary for evaluation of the patellofemoral joint......Page 33
Surgical strategy: putting it all together......Page 35
Case study analysis......Page 37
References......Page 42
Epidemiology and natural history......Page 44
Patient history......Page 45
Sitting......Page 46
Radiographic findings......Page 47
Nonsurgical......Page 48
Surgical......Page 49
Minimally invasive patellar realignment......Page 53
References......Page 54
Anteromedialization......Page 59
AMZ with ACI operative technique......Page 61
Results and discussion of AMZ and ACI......Page 63
References......Page 65
Index procedure......Page 66
Surgical technique......Page 67
Case 1......Page 69
Index procedure......Page 71
Discussion......Page 72
Summary......Page 73
References......Page 74
Design features that impact patellar tracking......Page 76
Clinical results and complications by design......Page 78
Unique design features of the zimmer gender solutions PFJ......Page 81
References......Page 82
Design rationale......Page 84
Indications and contraindications......Page 85
Surgical technique......Page 87
Keys to success......Page 89
References......Page 90
Patellofemoral Arthroplasty in the Treatment of Patellofemoral Arthritis: Rationale and Outcomes in Younger Patients......Page 92
Limitations of current operative treatment of patellofemoral degenerative pain......Page 93
The argument against total knee arthroplasty and for patellofemoral arthroplasty......Page 96
Patellofemoral arthroplasty: experience in younger patients......Page 99
What to consider when recommending or performing a patellofemoral arthroplasty......Page 100
Novel applications of patellofemoral arthroplasty......Page 105
References......Page 106
Results of Total Knee Replacement for Isolated Patellofemoral Arthritis: When Not to Perform a Patellofemoral Arthroplasty......Page 110
Outcomes of patellofemoral arthroplasty for isolated patellofemoral arthritis......Page 111
Outcomes of total knee arthroplasty for isolated patellofemoral arthritis......Page 112
Comparison of patellofemoral arthroplasty and total knee arthroplasty studies......Page 114
References......Page 116