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Patellar compressive and shear forces were also recorded using a patellar component instrumented with a custom triaxial load transducer.
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The data measured were analyzed using a patellar tracking software application for TKA (Patellar Tracking; BrainLab).
Use of a patellar component (patella resurfacing) during primary total knee arthroplasty (TKA) is still disputed.
Less use of a patellar component during primary TKA might be advisable.
Retaining the patellar prosthesis could have resulted in maltracking or increased wear of the polyethylene; thus, some authors have suggested that patellofemoral arthroplasty should use a universal patellar component that is compatible with total knee systems, thus obviating the need for revision of the patella (Argenson et al. 2005).
When the patella had substantial osteoarthritis and was eroded, producing a concave articular surface, a patellar component was used (3 patients in each group).
A patellar component was used in 3 knees in the "standard stem" group and in 1 knee in the "short stem" group.
In Sweden, 24 reoperations were performed with only a patellar component being added.
Primary knee arthroplasties without patellar resurfacing were included, and the endpoint was revision for any reason other than addition of a patellar component.
A revision is defined as surgical removal or exchange of a part of or the whole implant, or as insertion of a patellar component.
A recent study from the AOANJRR found more revisions after secondary resurfacing of the patella than after primary insertion of a patellar component (Clements et al. 2010).
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