Partial Patellar Lateral Facetectomy: Arthroscopic Technique - Archive ouverte HAL
Article Dans Une Revue Arthroscopy Techniques Année : 2020

Partial Patellar Lateral Facetectomy: Arthroscopic Technique

Résumé

Lateral patellofemoral osteoarthritis is a relatively common condition in young, active patients. Partial lateral patellar facetectomy is a relatively minimally invasive option to restore knee function and return to sport when conservative treatments are insufficient. We describe the arthroscopic technique of partial lateral patellar facetectomy , which has been historically performed as an open procedure. We describe preoperative planning, arthroscopic portals, landmarks, intra-articular evaluation of bone resection, and surgical difficulties. The goal of the preoperative planning was a target bone resection of 10 to 15mm including osteophytes and the lateral facet of the patella. Arthroscopic anterolateral and anterior superolateral portals were used to achieve the desired resection. An arthroscopic technique allows a direct view of the osteoarthritic bone for removal and permits intraoperative dynamic evaluation, which allows the surgeon to finetune the bone resection and obtain optimal patellar tracking. Avoiding arthrotomy could reduce morbidity and allows a rapid postoperative rehabilitation.

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Dates et versions

hal-03136330 , version 1 (26-05-2021)

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Axel Schmidt, John Swan, Sébastien Lustig, Elvire Servien. Partial Patellar Lateral Facetectomy: Arthroscopic Technique. Arthroscopy Techniques, 2020, 9 (7), 6p. ⟨10.1016/j.eats.2020.03.026⟩. ⟨hal-03136330⟩

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