Cargando…

High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement

BACKGROUND: Patellofemoral crepitus is an unfavorable complication following total knee arthroplasty (TKA) with a posterior-stabilized (PS) implant. The purpose of this study was to study patellar crepitus recurrence and reoperation rates following arthroscopic debridement in patients with a PS-TKA....

Descripción completa

Detalles Bibliográficos
Autores principales: Kleeman-Forsthuber, Lindsay T., Angerame, Marc, Jennings, Jason, Lundy, Keanna, Brady, Anna, Dennis, Douglas A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018431/
https://www.ncbi.nlm.nih.gov/pubmed/36938348
http://dx.doi.org/10.1016/j.artd.2023.101112
_version_ 1784907807156338688
author Kleeman-Forsthuber, Lindsay T.
Angerame, Marc
Jennings, Jason
Lundy, Keanna
Brady, Anna
Dennis, Douglas A.
author_facet Kleeman-Forsthuber, Lindsay T.
Angerame, Marc
Jennings, Jason
Lundy, Keanna
Brady, Anna
Dennis, Douglas A.
author_sort Kleeman-Forsthuber, Lindsay T.
collection PubMed
description BACKGROUND: Patellofemoral crepitus is an unfavorable complication following total knee arthroplasty (TKA) with a posterior-stabilized (PS) implant. The purpose of this study was to study patellar crepitus recurrence and reoperation rates following arthroscopic debridement in patients with a PS-TKA. METHODS: Our institution database was used to identify patients with a PS-TKA who underwent arthroscopic debridement for patellofemoral crepitus at our institution. Patients must have had a resurfaced patella and minimum 2 years clinical follow-up from the arthroscopic debridement to be included in the study. Recurrence of patellar crepitus, subsequent operations, and any adverse events were documented. RESULTS: We identified 35 patients who met inclusion criteria with an average follow-up of 8.0 years (range 2.1 to 18.4 years) from their arthroscopic debridement. Nineteen patients (54.3%) had history of a nonarthroplasty knee surgery prior to their TKA. The mean time interval between TKA and arthroscopic debridement for patellar crepitus was 1.6 years (range 0.2 to 5.0 years). Overall, 16 patients (45.7%) developed recurrent crepitus (8 asymptomatic and 8 symptomatic). Six of the symptomatic patients (17.1% of the entire cohort) underwent a repeat surgery for recurrent patellofemoral crepitus. Of theses 6 patients, 3 developed recurrent crepitus but only 1 patient had a third surgical procedure. No postoperative complications were noted following any surgical procedure. The mean knee range of motion following arthroscopic debridement did not change (126.9° preoperatively vs 127.0° postoperatively). CONCLUSIONS: Patients experienced high rates of recurrent patellofemoral crepitus following arthroscopic debridement. One-sixth of the patient cohort required a second surgical intervention for recurrent crepitus.
format Online
Article
Text
id pubmed-10018431
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-100184312023-03-17 High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement Kleeman-Forsthuber, Lindsay T. Angerame, Marc Jennings, Jason Lundy, Keanna Brady, Anna Dennis, Douglas A. Arthroplast Today Original Research BACKGROUND: Patellofemoral crepitus is an unfavorable complication following total knee arthroplasty (TKA) with a posterior-stabilized (PS) implant. The purpose of this study was to study patellar crepitus recurrence and reoperation rates following arthroscopic debridement in patients with a PS-TKA. METHODS: Our institution database was used to identify patients with a PS-TKA who underwent arthroscopic debridement for patellofemoral crepitus at our institution. Patients must have had a resurfaced patella and minimum 2 years clinical follow-up from the arthroscopic debridement to be included in the study. Recurrence of patellar crepitus, subsequent operations, and any adverse events were documented. RESULTS: We identified 35 patients who met inclusion criteria with an average follow-up of 8.0 years (range 2.1 to 18.4 years) from their arthroscopic debridement. Nineteen patients (54.3%) had history of a nonarthroplasty knee surgery prior to their TKA. The mean time interval between TKA and arthroscopic debridement for patellar crepitus was 1.6 years (range 0.2 to 5.0 years). Overall, 16 patients (45.7%) developed recurrent crepitus (8 asymptomatic and 8 symptomatic). Six of the symptomatic patients (17.1% of the entire cohort) underwent a repeat surgery for recurrent patellofemoral crepitus. Of theses 6 patients, 3 developed recurrent crepitus but only 1 patient had a third surgical procedure. No postoperative complications were noted following any surgical procedure. The mean knee range of motion following arthroscopic debridement did not change (126.9° preoperatively vs 127.0° postoperatively). CONCLUSIONS: Patients experienced high rates of recurrent patellofemoral crepitus following arthroscopic debridement. One-sixth of the patient cohort required a second surgical intervention for recurrent crepitus. Elsevier 2023-03-07 /pmc/articles/PMC10018431/ /pubmed/36938348 http://dx.doi.org/10.1016/j.artd.2023.101112 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Kleeman-Forsthuber, Lindsay T.
Angerame, Marc
Jennings, Jason
Lundy, Keanna
Brady, Anna
Dennis, Douglas A.
High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title_full High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title_fullStr High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title_full_unstemmed High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title_short High Incidence of Recurrent Patellofemoral Crepitus in Total Knee Arthroplasty Patients Following Arthroscopic Debridement
title_sort high incidence of recurrent patellofemoral crepitus in total knee arthroplasty patients following arthroscopic debridement
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018431/
https://www.ncbi.nlm.nih.gov/pubmed/36938348
http://dx.doi.org/10.1016/j.artd.2023.101112
work_keys_str_mv AT kleemanforsthuberlindsayt highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement
AT angeramemarc highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement
AT jenningsjason highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement
AT lundykeanna highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement
AT bradyanna highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement
AT dennisdouglasa highincidenceofrecurrentpatellofemoralcrepitusintotalkneearthroplastypatientsfollowingarthroscopicdebridement