Journal List > J Korean Orthop Assoc > v.27(2) > 1114494

Lee, Seong, Lee, Lee, and Im: The Effect of Patellectomy on Function of the Knee Joint

Abstract

Historically there have been many discussions about the effect of patellectomy on the knee functions. Currently many authors agree that patellectomy decreases the knee function in many ways. Authors conducted a clinical study on the effect of patellectomy in 11 patients (7 males and 4 females) who underwent total or partial patellectomy from Jan 1980 to June 1987. The mean age at surgery was 44 years, and the mean follow-up period was 8 years 3 months ranging from 3 years 4 months to 10 years 2 months. 5 patients underwent total patellectomy, and 6 patients underwent partial patellectomy. The indications of surgery were comminuted patellar fracture in 9 cases, severe chondromalacia in one case, and chondroblastoma of patella in one case. The results are as follows;1. Good to excellent results were obtained in 8 cases (72.7%) and fair results in 3 cases (27.3%). Among total patellectomy cases good to excellent results in 3 cases (60.0%), and fair results in 2 cases (40.0%). Among partial patellectomy cases, good to excellent results in 5 cases (83.3%), and fair result in 1 case (16.7%). 2. Pain and limitation of activity were interrelated with degenerative radiologic changes.
3. Quadriceps weakness and the decrease in the range of motion were observed in most cases, but did not affect the knee function greatly. In conclusion, we suppose that the patellectomy can cause the weakness of the quadriceps power and the decrease in the range of motion. However, the pain and limitation of activity after patellectomy are not significant, and especially in partial patellectomy cases, these effects are even less.

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