Is Further Treatment Necessary for Patellar Crepitus After Total Knee Arthroplasty?

Authors

Bo-Hyun Hwang, MD, Himchan Hospital, Seoul Korea
Chang-Hyun Nam, MD, Himchan Hospital, Seoul Korea
Kwang-Am Jung, MD, Himchan Hospital, Seoul Korea
Alvin Ong, MD, Thomas Jefferson University; The Rothman InstituteFollow
Su-Chan Lee, MD, Himchan Hospital, Seoul Korea

Document Type

Poster

Publication Date

3-2014

Comments

Poster presented at: 2014 meeting of the American Academy of Orthopaedic Surgeons in New Orleans, Louisiana

Abstract

Introduction:

• Posterior-stabilized (PS) TKA that sacrifice the cruciate ligaments improves pain and function in patients with advanced osteoarthritis.
• Patellar crepitus appears to be due to a spectrum of peripatellar fibrosynovial formations and is usually encountered after PS-TKA, which uniquely has an intercondylar box to accept the tibial post.
• Symptoms of patellar crepitus occur most commonly during terminal knee extension and occur usually from 3 to 9 months after PS-TKA, and in some cases, this phenomenon is symptomatic enough to warrant an arthroscopic procedure or open arthrotomy.
• The development of patellar crepitus after PS-TKA appears related to many factors such as femoral component design, surgical errors, increased postoperative knee flexion, and postoperative patellar baja, which are also responsible for patellar clunk syndrome.

Recommended Citation

Hwang, MD, Bo-Hyun; Nam, MD, Chang-Hyun; Jung, MD, Kwang-Am; Ong, MD, Alvin; and Lee, MD, Su-Chan, "Is Further Treatment Necessary for Patellar Crepitus After Total Knee Arthroplasty?" (2014). Rothman Institute Conference Posters. Paper 2.
https://jdc.jefferson.edu/rothinsposters/2