Patellar meniscus in total knee arthroplasty.

Carlos J. Lavernia, Daniel A. Sheldon, Victor H. Hernández, Michele R. D'Apuzzo, David J. Lee, Kenneth A. Krackow, David S. Hungerford

Research output: Contribution to journalArticle

Abstract

Twenty-four clinically successful, autopsy retrieved porous-coated anatomic total knee arthroplasty (TKA) specimens were evaluated to determine the structure and function of the patellar meniscus. Mean implant duration was 76 months (range: 11-135 months). Histological examination showed the patellar meniscus to be composed of dense fibrous tissue with scattered regions of chronic granulomatous response to polyethylene debris. Patellar wear and polyethylene exposed patellar surface area were correlated with implant duration (r = 0.47, P = .03; r = 0.52, P = .06). Postoperative patellar tilt was also associated with patellar component wear (r = 0.64, P = .03). No other clinical measures were significantly associated with patellar wear or exposed surface area. Additional research is needed to determine what role, if any, the patellar meniscus plays in TKA outcomes.

Original languageEnglish (US)
Pages (from-to)142-146
Number of pages5
JournalThe journal of knee surgery
Volume20
Issue number2
DOIs
StatePublished - Apr 2007

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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  • Cite this

    Lavernia, C. J., Sheldon, D. A., Hernández, V. H., D'Apuzzo, M. R., Lee, D. J., Krackow, K. A., & Hungerford, D. S. (2007). Patellar meniscus in total knee arthroplasty. The journal of knee surgery, 20(2), 142-146. https://doi.org/10.1055/s-0030-1248033