Prevention of pseudo-patella baja during total knee arthroplasty

Verfasser / Beitragende:
[Jai-Gon Seo, Young-Wan Moon, Sang-Min Kim, Sang-Hoon Park, Byung-Hoon Lee, Moon-Jong Chang, Byung-Chul Jo]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3601-3606
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3257-1  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3257-1 
245 0 0 |a Prevention of pseudo-patella baja during total knee arthroplasty  |h [Elektronische Daten]  |c [Jai-Gon Seo, Young-Wan Moon, Sang-Min Kim, Sang-Hoon Park, Byung-Hoon Lee, Moon-Jong Chang, Byung-Chul Jo] 
520 3 |a Purpose: Pseudo-patella baja (PPB) is a surgical complication that can arise from total knee arthroplasty and occurs when the patella tendon is not shortened but the level of the femorotibial joint line is elevated. The goal of this study was to assess the performance of a technique specifically designed to prevent the occurrence of PPB and its radiological results. Methods: Ninety-nine patients undergoing total knee arthroplasty were included. Patients were divided into a non-correction group and a correction group. The correction group were applied an additional metal block in order to reduce the excess resection of the distal femur. To evaluate PPB, the change in the pre- and postoperative joint line was measured using the modified Blackburne-Peel Index (BPI). Results: In the non-correction group, 68 of 74 cases showed an occurrence of PPB (92%), in the correction group, 6 of 57 cases showed an occurrence of PPB (11%). The preoperative-modified BPI of the non-correction group was not significantly different from that of the correction group (0.6±0.1 vs. 0.6±0.2). The modified BPI decreased significantly in the non-correction group after TKA (0.6±0.1 vs. 0.2±0.1, p<0.05). However, the modified BPI did not change significantly in the correction group after TKA (0.6±0.2 vs. 0.6±0.2). Conclusion: The comparison of preoperative and postoperative radiological results showed that our intervention maintained the joint line without elevation. We proposed an effective method to prevent various complications due to the joint line elevation that occur in PPB. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Patella  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Complication  |2 nationallicence 
700 1 |a Seo  |D Jai-Gon  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Moon  |D Young-Wan  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Sang-Min  |u Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea  |4 aut 
700 1 |a Park  |D Sang-Hoon  |u Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Korea  |4 aut 
700 1 |a Lee  |D Byung-Hoon  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Chang  |D Moon-Jong  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
700 1 |a Jo  |D Byung-Chul  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3601-3606  |x 0942-2056  |q 23:12<3601  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3257-1  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seo  |D Jai-Gon  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Moon  |D Young-Wan  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Sang-Min  |u Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Sang-Hoon  |u Department of Orthopaedic Surgery, National Health Insurance Service Ilsan Hospital, Ilsan, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Byung-Hoon  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chang  |D Moon-Jong  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jo  |D Byung-Chul  |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3601-3606  |x 0942-2056  |q 23:12<3601  |1 2015  |2 23  |o 167