OBJECTIVE To further define vertical patellar position, as measured by the ratio of patellar ligament length to patellar length (L:P), in large-breed dogs with clinically normal stifles and compare that to the L:P of large-breed dogs with medial patellar luxation (MPL). STUDY DESIGN Retrospective study. SAMPLE POPULATION Large-breed dogs (n = 50) with clinically normal stifle joints and 30 ...

BACKGROUND AND OBJECTIVE: Patellofemoral pain syndrome (PFPS) is the most common cause of anterior knee pain in adults. Patellar taping is used to correct patellar position and rehabilitate patients with PFPS. However, the effectiveness and clinical efficiency of this technique in the treatment of these patients are not fully determined. Therefore, this study aimed to evaluate the effects of kn...

Background Medial patella-femoral ligament reconstruction (MPFLR) using hamstring tendon is the main procedure for recurrent patellar instability. The anterior half of the peroneus longus tendon (AHPLT) has been proven to be a useful alternate to the hamstring tendon in knee ligament reconstruction. The purpose of this study was to evaluate the clinical outcome of MPFLR using the new graft. M...

BACKGROUND Apart from transepicondylar axis, the native femoral sulcus was also reported to be used as a guide for the femoral component position in total knee arthroplasty (TKA). However, it was not shown in patients with severe knee osteoarthritis. This study was conducted to compare the position of trochlear groove in patients with and without osteoarthritis, and to assess whether trochlear ...

BACKGROUND Further knee surgery after proximal tibial osteotomies has been reported to have a more difficult surgical exposure due to decreased patellar height after the osteotomy. Although a decrease in patellar height has been reported for closing-wedge proximal tibial osteotomies, it has not been widely verified among opening-wedge procedures. HYPOTHESIS A significant decrease in patellar ...

Background There is a paucity of data to guide management of the patella in revision total knee arthroplasty (RTKA). The purpose of this study was to review our experience with patellar management in RTKA. Methods We retrospectively reviewed 422 consecutive RTKAs at a minimum of 2 years (mean, 42 months). Patellar management was guided by a classification that considered stability, size, and ...

Background: Patellar fracture accounts for approximately 1% of all skeletal fractures. Bilateral fracture of the patella is even rarer, comprising less than 3% of all patellar injuries. Case Description: A 28 year old man presented with bilateral patellar fracture after car accident and direct dashboard injury while driving, with superficial abrasion on both fracture sites. Mentioned fracture h...

Total knee arthroplasty (TKA) is a commonly performed procedure that provides reliable pain relief to those suffering from knee arthritis. While technologies and surgical techniques have improved, complications can and do still occur.1–9 One of the most serious potential complications is postoperative patellar instability.4,10–12 Patellar instability can often be treated by correcting the rotat...