PT  - JOURNAL ARTICLE
AU  - Brian Godshaw
AU  - Nicholas Kolodychuk
AU  - Gerard K. Williams, Jr.
AU  - Benjamin Browning
AU  - Deryk Jones
TI  - Patellofemoral Arthroplasty
AID  - 10.31486/toj.18.0009
DP  - 2018 Sep 21
TA  - Ochsner Journal
PG  - 280--287
VI  - 18
IP  - 3
4099  - http://www.ochsnerjournal.org/content/18/3/280.short
4100  - http://www.ochsnerjournal.org/content/18/3/280.full
SO  - Ochsner J2018 Sep 21; 18
AB  - Background: Patellofemoral arthritis is a common cause of anterior knee pain and limits flexion-related activities of daily living and exercise. While frequently present in bicompartmental and tricompartmental osteoarthritis, patellofemoral arthritis can occur in isolation. Patellofemoral arthroplasty as a treatment option is gaining in popularity, especially with new implant designs. We report a case in which new inlay implants were used to resurface the patellofemoral joint in a patient with contralateral compromise secondary to a previous below-knee amputation.Case Report: A 37-year-old female with a contralateral right below-knee amputation and progressive left patellofemoral arthritis had failed multiple conservative treatment modalities. She underwent isolated patellofemoral arthroplasty using an inlay-designed implant. The patient was followed for 2 years postoperatively. She noticed an immediate increase in her knee range of motion and her pain scores improved. Two years postoperatively, she demonstrated drastic improvement in all outcome measures: International Knee Documentation Committee score (16.1 to 88.5), Lysholm Knee Scoring Scale (22 to 100), Knee Injury and Osteoarthritis Outcome Score (KOOS) Symptoms (7.14 to 96.43), KOOS Pain (2.78 to 100), KOOS Activities of Daily Living (0 to 100), KOOS Sports (0 to 100), and KOOS Quality of Life (12.5 to 93.75).Conclusion: Inlay patellofemoral arthroplasty is a valid treatment option for isolated patellofemoral arthritis. Successful results can be achieved with this procedure after failure of conservative measures in patients with limited or no evidence of tibiofemoral arthritis.