Accelerated patellofemoral joint erosion: A complication of isolated resurfacing of an arthritic patella with a polyethylene component

Hui-Kuang Huang , Cheng-Fong Chen , Chao-Ching Chiang , Ching-Kuei Huang , Wei-Ming Chen , Chien-Lin Liu
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Abstract

Patellofemoral arthrosis is commonly encountered in clinical practice. This morbid condition can critically affect the patient's quality of life. Many treatments have been reported to address this problem, including operative and nonoperative modalities. Patellofemoral arthroplasty had been reported to have an excellent outcome in some reports, although the treatment is still controversial. We report a case of a complication that arose after isolated resurfacing of an arthritic patella with a polyethylene component. Serious femoral cartilage wear with severe synovitis was noted in the early postoperative period. Clinicians are therefore cautioned to avoid isolated patellar resurfacing for treating patellofemoral arthritis.

加速髌骨股骨关节糜烂:用聚乙烯组件对关节炎髌骨进行单独表面修复的并发症
髌股关节病是临床上常见的疾病。这种病态的状况会严重影响患者的生活质量。据报道,许多治疗方法都可以解决这个问题,包括手术和非手术方式。在一些报道中,髌股关节置换术有很好的疗效,尽管其治疗方法仍有争议。我们报告一个并发症的情况下,出现了一个孤立的膝盖骨置换与聚乙烯组件。术后早期发现严重股骨软骨磨损伴严重滑膜炎。因此,临床医生应谨慎避免单独髌骨表面置换治疗髌骨股关节炎。
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