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- Talk
- 18/05/2021
- UK
Severe Patello-Femoral Osteoarthritis Does Not Diminish the Excellent Outcomes of Isolated Fixed-Bearing Medial Partial Knee Arthroplasty
Description
In this presentation delivered at the BASK Conference 2021, Damian Bull, a clinical knee fellow based in Harrogate, UK, discusses the outcomes of a study investigating the effects of severe patello-femoral osteoarthritis on the results of isolated fixed-bearing medial partial knee arthroplasty. The research highlights that patients with severe patello-femoral osteoarthritis can still experience excellent functional outcomes after the procedure, contradicting previous assumptions.
Bull provides a detailed backdrop of their high-volume center, which performs 250 to 300 partial knee replacements annually and reports optimistic trends in implant survival and patient-reported outcome measures (PROMs) data. The study, supported by grants from the European Knee Society and Zimmer Biomet, involved 240 patients monitored over a three-year period, showing that irrespective of the patello-femoral joint (PFJ) wear pattern, significant improvements in knee scores and overall satisfaction rates were achieved.
Key findings include high satisfaction rates among patients (96.6%) and notable improvements in functional assessments across various metrics, indicating that even patients with lateral patello-femoral osteoarthritis could be considered for partial knee replacements under certain conditions. The results encourage broader patient eligibility for partial knee replacement, potentially improving surgical outcomes through increased procedural experience.
Bull completes the presentation by reinforcing the potential for extending the indications for partial knee replacement surgery to enhance the quality of patient care.