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Partial Patellar Lateral Facetectomy: Arthroscopic Technique

Authors :
Axel Schmidt, M.D.
John Swan, M.B.B.S.
Sébastien Lustig, M.D., Ph.D.
Elvire Servien, M.D., Ph.D.
Source :
Arthroscopy Techniques, Vol 9, Iss 7, Pp e1043-e1048 (2020)
Publication Year :
2020
Publisher :
Elsevier, 2020.

Abstract

Lateral patellofemoral osteoarthritis is a relatively common condition in young, active patients. Partial lateral patellar facetectomy is a relatively minimally invasive option to restore knee function and return to sport when conservative treatments are insufficient. We describe the arthroscopic technique of partial lateral patellar facetectomy , which has been historically performed as an open procedure. We describe preoperative planning, arthroscopic portals, landmarks, intra-articular evaluation of bone resection, and surgical difficulties. The goal of the preoperative planning was a target bone resection of 10 to 15 mm including osteophytes and the lateral facet of the patella. Arthroscopic anterolateral and anterior superolateral portals were used to achieve the desired resection. An arthroscopic technique allows a direct view of the osteoarthritic bone for removal and permits intraoperative dynamic evaluation, which allows the surgeon to finetune the bone resection and obtain optimal patellar tracking. Avoiding arthrotomy could reduce morbidity and allows a rapid postoperative rehabilitation.

Subjects

Subjects :
Orthopedic surgery
RD701-811

Details

Language :
English
ISSN :
22126287
Volume :
9
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Arthroscopy Techniques
Publication Type :
Academic Journal
Accession number :
edsdoj.74da1c98d56479bb53d555567941902
Document Type :
article
Full Text :
https://doi.org/10.1016/j.eats.2020.03.026