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THE ROLE OF PATELLOFEMORAL ARTHROPLASTY<br />
David Barrett<br />
Southampton University Hospital, United K<strong>in</strong>gdom<br />
<strong>Take</strong> home message<br />
1. Patellofemoral arthritis is symptomatic <strong>in</strong> a young, high demand group of patients.<br />
2. Design of patellofemoral arthroplasty is chang<strong>in</strong>g to be more aware of <strong>the</strong> soft tissue demands of <strong>the</strong><br />
patellofemoral articulation.<br />
3. Operative technique for patellofemoral surgery is much more aligned to sport surgery considerations<br />
ra<strong>the</strong>r than <strong>the</strong> lessons we have learnt for total knee replacement.<br />
4. Functional results from patellofemoral arthroplasty are proven to be very high and long term studies of<br />
patellofemoral arthroplasty show survival ship figures approach<strong>in</strong>g that of total knee arthroplasty.<br />
5. There is a recognized progression of tibiofemoral arthritis follow<strong>in</strong>g patellofemoral arthroplasty <strong>in</strong> a<br />
small group of patients.<br />
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