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Patellar Resurfacing 5 Months after Total Knee Arthroplasty without Patellar Resurfacing. Case Report Ichiro Moriyama 1 , Mitsukazu Nakamura 1 1Department of Orthopedic Surgery, Saiseikai Utsunomiya Hospital Keyword: 人工膝関節置換術 , total knee arthroplasty , 膝蓋骨置換 , patellar resurface pp.861-864
Published Date 2009/8/25
DOI https://doi.org/10.11477/mf.1408101578
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 We report a case in which patellar resurfacing revision surgery was performed to treat persistent pre-patellar pain 5 months after total knee arthroplasty without patella resurfacing. The patient was a 63-year-old woman who underwent total knee arthroplasty by a mid-vastus approach. Postoperatively, she complained of persistence of the unbearable pre-patellar pain when she walked up and down stairs, or rose from a chair that she had experienced before the operation. Patellar resurfacing surgery was performed and after the revision surgery she no longer experienced the pre-patellar pain and had no complaints in regard to daily living. The indications and criteria for patella management, i. e., retaining or resurfacing, in total knee arthroplasty are unclear. Although patients who require patellar resurfacing during total knee arthroplasty are rare, the issue should be discussed and resolved to avoid revision surgery as in our patient.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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