Degenhardt Hannes, Imhoff Andreas B, Feucht Matthias J, Pogorzelski Jonas
Abteilung für Sportorthopädie, Klinikumrechts der Isar, TU München, Ismaninger Str. 22, 81675, München, Deutschland.
Orthopade. 2021 Feb;50(2):136-142. doi: 10.1007/s00132-020-04059-4.
Isolated arthrosis of the patellofemoral joint is a rare and complex disease. After conservative therapy has been exhausted, the orthopedist has various soft-tissue and bone reconstructive procedures as well as cartilage regenerative procedures at his hands. In cases of failed or unsatisfactory therapy, patellofemoral arthroplasty continues to be controversially discussed as an alternative therapy. A closer look at these studies reveals promising results with the correct indication and patient selection. The different prosthesis designs provide good postoperative results while considering general and specific risks. The current generation of patellofemoral inlay prostheses shows high patient satisfaction with significant improvements in knee function and pain relief in mid-term outcomes. However, a relatively high revision rate must be considered.
孤立性髌股关节骨关节炎是一种罕见且复杂的疾病。在保守治疗无效后，骨科医生可采用多种软组织和骨重建手术以及软骨再生手术。在治疗失败或效果不理想的情况下，髌股关节置换术作为一种替代疗法仍存在争议。仔细研究这些研究可以发现，在正确的适应症和患者选择下，会有令人满意的结果。不同的假体设计在考虑一般和特定风险的情况下能提供良好的术后效果。目前一代的髌股嵌体假体在中期结果中显示出较高的患者满意度，膝关节功能有显著改善，疼痛缓解明显。然而，必须考虑相对较高的翻修率。
