Anterior knee pain following primary total knee arthroplasty

David Shervin, Katelyn Pratt, Travis Healey, Samantha Nguyen, William Mihalko, Mouhanad M. El-Othmani, Khaled J. Saleh

Research output: Contribution to journalShort survey

20 Citations (Scopus)

Abstract

Despite improvements in technique and technology for total knee arthroplasty (TKA), anterior knee pain impacts patient outcomes and satisfaction. Addressing the prosthetic and surgical technique related causes of pain after TKA, specifically as it relates to anterior knee pain, can aid surgeons in addressing these issueswith their patients. Design features of the femoral and patellar components which have been reported as pain generators include: Improper femoral as well as patellar component sizing or designs that result in patellofemoral stuffing; a shortened trochlear groove distance from the flange to the intercondylar box; and then surgical technique related issues resulting in: Lateral patellar facet syndrome; overstuffed patella/flange combination; asymmetric patellar resurfacing, improper transverse plane component rotation resulting in patellar subluxation/tilt. Any design consideration that allows impingement of extensor mechanism anatomical elements has the possibility of impacting outcome by becoming a pain generator. As the number of TKA procedures continues to increase, it is increasingly critical to develop improved, evidence based prostheses that maximize function and patient satisfaction while minimizing pain and other complications.

Original languageEnglish (US)
Pages (from-to)795-803
Number of pages9
JournalWorld Journal of Orthopaedics
Volume6
Issue number10
DOIs
StatePublished - Jan 1 2015

Fingerprint

Knee Replacement Arthroplasties
Knee
Pain
Thigh
Patient Satisfaction
Patella
Prostheses and Implants
Technology

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine

Cite this

Shervin, D., Pratt, K., Healey, T., Nguyen, S., Mihalko, W., El-Othmani, M. M., & Saleh, K. J. (2015). Anterior knee pain following primary total knee arthroplasty. World Journal of Orthopaedics, 6(10), 795-803. https://doi.org/10.5312/wjo.v6.i10.795

Anterior knee pain following primary total knee arthroplasty. / Shervin, David; Pratt, Katelyn; Healey, Travis; Nguyen, Samantha; Mihalko, William; El-Othmani, Mouhanad M.; Saleh, Khaled J.

In: World Journal of Orthopaedics, Vol. 6, No. 10, 01.01.2015, p. 795-803.

Research output: Contribution to journalShort survey

Shervin, D, Pratt, K, Healey, T, Nguyen, S, Mihalko, W, El-Othmani, MM & Saleh, KJ 2015, 'Anterior knee pain following primary total knee arthroplasty', World Journal of Orthopaedics, vol. 6, no. 10, pp. 795-803. https://doi.org/10.5312/wjo.v6.i10.795
Shervin, David ; Pratt, Katelyn ; Healey, Travis ; Nguyen, Samantha ; Mihalko, William ; El-Othmani, Mouhanad M. ; Saleh, Khaled J. / Anterior knee pain following primary total knee arthroplasty. In: World Journal of Orthopaedics. 2015 ; Vol. 6, No. 10. pp. 795-803.
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