Anna Bartsch , Jacob F. Oeding , Yazdan Raji , Monica Sri Vel , Kinsley Pierre , Seth L. Sherman
{"title":"Patellofemoral Osteoarthritis, Should We Replace or Osteotomize?","authors":"Anna Bartsch , Jacob F. Oeding , Yazdan Raji , Monica Sri Vel , Kinsley Pierre , Seth L. Sherman","doi":"10.1016/j.otsm.2024.151083","DOIUrl":null,"url":null,"abstract":"<div><p>Athletes are prone to patellofemoral arthritis, a multi-factorial condition including patellofemoral malalignment, instability, overuse, and trauma incurred across diverse sporting disciplines. Surgical options for treating this condition include extensor mechanism realignment osteotomy and patellofemoral arthroplasty. Each procedure carries distinct advantages and considerations. Selection of the most suitable approach requires a comprehensive understanding of the procedures and patient specific factors such as severity of cartilage defects, malalignment, and the patient's preferences, and activity goals. For early-stage patellofemoral osteoarthritis, particularly in cases involving malalignment, tibial tubercle osteotomy can be an effective treatment, while arthroplasty becomes more valuable in more advanced and progressive cases. This chapter aims to establish a clear algorithmic approach for the utilization of realigning tibial tubercle osteotomy and patellofemoral arthroplasty in the management of patellofemoral osteoarthritis.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1060187224000248","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Athletes are prone to patellofemoral arthritis, a multi-factorial condition including patellofemoral malalignment, instability, overuse, and trauma incurred across diverse sporting disciplines. Surgical options for treating this condition include extensor mechanism realignment osteotomy and patellofemoral arthroplasty. Each procedure carries distinct advantages and considerations. Selection of the most suitable approach requires a comprehensive understanding of the procedures and patient specific factors such as severity of cartilage defects, malalignment, and the patient's preferences, and activity goals. For early-stage patellofemoral osteoarthritis, particularly in cases involving malalignment, tibial tubercle osteotomy can be an effective treatment, while arthroplasty becomes more valuable in more advanced and progressive cases. This chapter aims to establish a clear algorithmic approach for the utilization of realigning tibial tubercle osteotomy and patellofemoral arthroplasty in the management of patellofemoral osteoarthritis.
期刊介绍:
Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.