Abstract
Purpose To evaluate the kinetic and kinematic function of a new trabecular metal augmentation patella.
Method Eight frozen human cadaveric knees (mean age 68 years) were prepared for an “Oxford type” knee rig. Alignment ands offset were addressed and the soft tissue envelope kept as intact as possible. A load cell was introduced into the extensor mechanism. Femoral, patella and tibial motion were assessed using the Optotrak system.
Summary of Results The mean, maximum extensor mechanism force in extension for the TKA group as compared to the patelloplasty group (p=0.0000032), reduced to near normal with the augmentation patella (p=0.198).
The mean, maximum patella maltracking in extension for the TKA group as compared to the patelloplasty group (p=0.025), reduced to near normal with the augmentation patella (p=0.301).
Conclusion Investigating the force through the extensor mechanism, we found a statistically significant difference between the TKA before and after patelloplasty, which was abolished by the insertion of the augmentation patella.
Investigation patella tracking, we found a statistically significant difference between the TKA before and after patelloplasty, that was rectified by the insertion of the augmentation patella.
Correspondence should be addressed to Roger Smith, Honorary Secretary, BASK c/o Royal College of Surgeons, 35 – 43 Lincoln’s Inn Fields, London WC2A 3PN
