[The patello-femoral joint in osteoarthritis of the knee with gene varum (author's transl)].

Abstract

The authors have treated 63 knees with osteoarthritis associated with varus deformity by valgus osteotomies. The clinical and radiological state of the patello-femoral joints has been studied before and after correction of varus deformity. No correlation was found between the severity of tibio-femoral osteoarthritis and patello-femoral osteoarthritis. Medical patello-femoral discordance was found in 12 p. 100 of the cases. Clinical evidence of pain arising from the patello-femoral joint was more often found than evidence of radiological abnormality. It is concluded that pain arising from the medial compartment may be confused with patello-femoral pain. A five-year follow-up showed that the patello-femoral joint was not influenced radiologically by the valgus osteotomy but patellar pain was improved in most of the cases. Procedures to re-align the patella should not normally be associated with valgus osteotomy in cases in which patellar pain exists in association with osteoarthritis of the knee with varus deformity.

• Authors: D Goutallier, G Delépine, J Debeyre
• Journal: Revue de chirurgie orthopedique et reparatrice de l'appareil moteur (Rev Chir Orthop Reparatrice Appar Mot) 1979 Jan-Feb Vol. 65 Issue 1 Pg. 25-31 ISSN: 0035-1040 [Print] France
• Vernacular Title: L'articulation fémoro-patellaire dans le genu-varum arthrosique.
• PMID: 155854 (Publication Type: Journal Article)

Topics

• Female
• Femur (physiopathology)
• Follow-Up Studies
• Humans
• Knee Joint (diagnostic imaging, physiopathology, surgery)
• Male
• Osteoarthritis (physiopathology, surgery)
• Osteotomy (methods)
• Patella (diagnostic imaging, physiopathology)
• Prospective Studies
• Radiography