Diagnosis and Management of Patellofemoral Cartilage Injuries (2023 Annual Meeting)-Diagnosis and Management of PF Cartilage Injuries

Diagnosis and Management of PF Cartilage Injuries

Video Transcription

Video Summary

The speaker discusses patellofemoral arthroplasty (PFJ) at an arthroscopy meeting, highlighting patient selection, surgical technique, and implant advancements. PFJ arthritis is common, especially in women around age 53, often linked to patellar maltracking and dysplasia. Ideal candidates have isolated patellofemoral arthritis without tibiofemoral involvement. Newer implants mimic natural trochlear anatomy for better tracking and reproducibility. Surgery involves precise component placement, sometimes combined with tibial tubercle osteotomy or soft tissue stabilization in cases of instability. Failures often result from poor patient selection rather than implant issues and can usually be revised to standard total knee arthroplasty.

Asset Caption

Sabrina Strickland, M.D.

Keywords

patellofemoral arthroplasty

patient selection

surgical technique

implant advancements

patellofemoral arthritis