Partial lateral patellar facetectomy as an alternative to lateral release in total knee arthroplasty (TKA)

Dror Lakstein, Muhammad Naser, Eliyahu Adar, Ehud Atoun, Alexander Edelman, David Hendel

Research output: Contribution to journalArticlepeer-review

Abstract

This study presents the selective use of partial patellar lateral facetectomy for maltracking during primary TKA, as an alternative to lateral release. Twenty three partial facetectomies were performed out of 191 TKAs (12%). Balanced tracking was achieved in 22 knees. At follow-up 2 patients had persistent anterior knee pain. Mean Knee Society score (KSS) was 94 and mean functional KSS was 86. Mean patellar score was 28. Patellar tilt angles were within 2 degrees in all but one knee. Patellar translation was within 2 mm in all cases. No complications were recorded. A control group of 46 matched patients had similar functional and radiographic results. If tracking is not satisfactory at the conclusion of TKA, our method of choice would be partial lateral facetectomy.

Original languageEnglish
Pages (from-to)2146-2149
Number of pages4
JournalJournal of Arthroplasty
Volume29
Issue number11
DOIs
StatePublished - 1 Nov 2014

Keywords

  • Facetectomy
  • Lateral release
  • Maltracking
  • Patellar tracking
  • Total knee arthroplasty

Fingerprint

Dive into the research topics of 'Partial lateral patellar facetectomy as an alternative to lateral release in total knee arthroplasty (TKA)'. Together they form a unique fingerprint.

Cite this