Description
In this informative presentation, Victor Hernandez, Chief of Adult Reconstruction and Joint Replacement at the University of Miami, discusses patellofemoral disease and its treatment options. He shares his perspective on non-operative treatments and expresses skepticism regarding the effectiveness of injections for isolated patellofemoral disease due to transient pain relief. Hernandez outlines the surgical options available, particularly focusing on arthroplasty for older patients. He traces the evolution of patellofemoral implants from the original design introduced by McKeever in 1955, highlighting the advancements in implant longevity and technology over the generations.
The talk emphasizes the specific characteristics of patients suitable for surgery, including knee pain during movement but not on level surfaces, and the requirement for intact knee structures. Hernandez presents a case study of a 58-year-old woman with significant patellofemoral joint issues, detailing her history, condition, and the surgical approach employed. He outlines the robotic techniques used in surgery to achieve precision in implant placement, emphasizing the importance of maintaining the integrity of surrounding knee structures and the need for careful patellar tracking.
Postoperative results demonstrate impressive motion range and a high level of activity shortly after surgery, supported by patient testimonials reflecting positive recovery experiences. Hernandez concludes with a statistical review of the latest generation implants, forecasting their durability and the likely need for total knee replacements in cases of advanced osteoarthritis. Key surgical tips are reiterated, underscoring the importance of the trochlear orientation and smooth implant integration.