Arthroscopic Treatment of Patellar Clunk and Synovial Hyperplasia After Total Knee Arthroplasty

Abstract Patellofemoral pain, crepitus, and locking are infrequent symptoms after total knee arthroplasty (TKA). We performed a retrospective review of 25 patients who underwent arthroscopic debridement after primary TKA to treat the patellar clunk syndrome (15 knees) or patellofemoral synovial hype...

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Veröffentlicht in:	The Journal of arthroplasty 2010, Vol.25 (1), p.97-103
Hauptverfasser:	Dajani, Khaled A., MD, Stuart, Michael J., MD, Dahm, Diane L., MD, Levy, Bruce A., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Arthroplasty, Replacement, Knee - adverse effects arthroscopic debridement Arthroscopy Debridement Humans Hyperplasia Knee Joint - pathology Knee Joint - surgery Middle Aged Orthopedics painful TKA Patella - surgery patellar clunk patellofemoral synovial hyperplasia Synovectomy Synovial Membrane - pathology total knee arthroplasty
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Zusammenfassung:	Abstract Patellofemoral pain, crepitus, and locking are infrequent symptoms after total knee arthroplasty (TKA). We performed a retrospective review of 25 patients who underwent arthroscopic debridement after primary TKA to treat the patellar clunk syndrome (15 knees) or patellofemoral synovial hyperplasia (10 knees). After surgery, patient-reported knee pain and crepitus as well as Knee Society knee and function scores improved in both groups. Postoperative knee range of motion remained unchanged. Arthroscopic debridement of symptomatic patellofemoral synovium after TKA is a safe and effective procedure.
ISSN:	0883-5403 1532-8406
DOI:	10.1016/j.arth.2008.11.005