Radiological findings, evaluation and treatment of patellofemoral pain after total knee arthroplasty

Springorum, H. -R. and Keshmiri, A. and Heers, G. and Renkawitz, T. and Grifka, J. and Baier, C. (2012) Radiological findings, evaluation and treatment of patellofemoral pain after total knee arthroplasty. RADIOLOGE, 52 (11). pp. 987-993. ISSN 0033-832X, 1432-2102

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Abstract

Total knee arthroplasty (TKA) is one of the most successful operative procedures over the last decades in orthopedic surgery; however, some patients suffer from pain, limited range of motion, instability, infections or other complications postoperatively. Patellofemoral pain (PFP) in particular is a common problem after TKA and often necessitates revision surgery. Mainly increasing and localized contact pressure and patella maltracking are held responsible for PFP but the reasons vary. Diagnostics and therapy of PFP is not easy to manage and should be treated following a clinical pathway. The authors suggest that patients with PFP should be categorized after basic diagnostic measures according to the suspected diagnosis: (1) tendinosis, (2) mechanical reasons, (3) intra-articular non-mechanical reasons and (4) neurogenic/psychiatric reasons. Efficient application of special diagnostic measures and further therapy is facilitated by this classification.

Item Type: Article
Uncontrolled Keywords: JOINT LINE-POSITION; MOBILE-BEARING; UNEXPLAINED PAIN; PATELLA; REPLACEMENT; RECONSTRUCTION; COMPLICATIONS; RESTORATION; DENERVATION; INSTABILITY; Patellofemoral pain; Total knee arthoplasty; Complications; Patellofemoral joint; Patellofemoral maltracking
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 04 May 2020 10:11
Last Modified: 04 May 2020 10:11
URI: https://pred.uni-regensburg.de/id/eprint/17867

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