Patellofemoral Arthroplasty: A Systematic Review of the Literature

Payam Tarassoli 1, Shahid Punwar*, 2, Wasim Khan 3, David Johnstone 4
1 Bristol Royal Infirmary, Upper Maudlin St, Bristol, BS2 8HW, UK
2 Avon Orthopaedic Centre, Southmead Hospital, Westbury on Trym, Bristol, BS10 5NB, UK
3 University College London Institute of Orthopaedics and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK
4 Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, HP21 8AL, UK

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© Tarassoli et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Avon Orthopaedic Centre, Southmead Hospital, Westbury on Trym, Bristol, BS10 5NB, UK; Tel: 0117 924 1690; Fax: 0117 323 5757; E-mail:


Identification and management of patients with isolated patellofemoral osteoarthritis are challenging. Many of these patients present at a young age and it is important to distinguish degenerative change in the patellofemoral articulation from the other various causes of anterior knee pain. Once the diagnosis of isolated patellofemoral arthrosis has been made non-operative and conservative surgical techniques should be exhausted fully before prosthetic arthroplasty is considered. This review focuses on the use of arthroplasty for isolated patellofemoral arthrosis, in particular comparing the use of total knee against selective patellofemoral joint replacements.

Keywords: Patellofemoral, osteoarthritis, arthroplasty.