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MIS Patellofemoral Arthroplasty: Onlay Technique

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Minimally Invasive Surgery in Orthopedics

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Abstract

Patellofemoral arthroplasty is effective for the treatment of arthritis localized to the patellofemoral compartment. Outcomes can be optimized with proper patient selection, meticulous surgical technique, and selection of an onlay-style implant that can be positioned perpendicular to the AP axis of the femur. Minimizing the risk of patellar instability by using onlay- design PFAs has enhanced mid-and long-term results, and leaves progressive tibiofemoral arthritis as the primary failure mechanism beyond 10-15 years. Minimally invasive approaches can be applied to PFA after first familiarizing oneself with standard techniques and instrumentation.

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Author information

Authors and Affiliations

  1. Rothman Institute, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA

    Jess H. Lonner & Andrew I.U. Longenecker

Authors
  1. Jess H. Lonner
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  2. Andrew I.U. Longenecker
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Correspondence to Jess H. Lonner .

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Editors and Affiliations

  1. Insall Scott Kelly Institute, New York, New York, USA

    Giles R. Scuderi

  2. Orthopaedic Surgery, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

    Alfred J. Tria

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Lonner, J., Longenecker, A. (2016). MIS Patellofemoral Arthroplasty: Onlay Technique. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-15206-6_56-1

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  • DOI: https://doi.org/10.1007/978-3-319-15206-6_56-1

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  • Online ISBN: 978-3-319-15206-6

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