Patellofemoral Arthroplasty in 2015

Sabrina Strickland, MD

One of my mentors once said, “If I only did what I did in residency, I wouldn’t be doing any surgery anymore.” Having finished my fellowship more than 12 years ago, I never would have guessed at the evolution that would occur in my surgical practice or predicted a practice profile such as I have today.

One specific example is the use of patellofemoral arthroplasty. Clearly, the problem of patella arthritis is not new, and many patients were diagnosed with isolated patellofemoral arthritis 12 years ago. These patients were treated primarily with physical therapy and activity modification until their arthritis became intolerable, at which point they were offered a total knee arthroplasty (TKA) because first-generation patellofemoral replacements were fraught with mechanical complications due to poor design.

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