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  What is a kneecap prosthesis ?

 
In the case of an advance knee arthrosis (gonarthrosis), the placing a total kneecap prosthesis does not allow for the articulation to conserve the totality of its initial function. Therefore when arthrosis only involves the kneecap, it is better to resort to a prosthesis that partially replaces the articulation between the kneecap and the femur.

In this case, a patellofemoral prosthesis, more commonly called a kneecap prosthesis, will be used. This prosthesis will be composed of a polythene piece that replaces the knee cap cartilage which will articulate with a femoral metal chain guard which replaces the other part of the articulation.

The human anatomy of the patellofemoral articulation that lags behind the function with an arthrosis that develops at this level is most often due to a congenital malformation. Thus the prostheses that will be used will have a design that will not follow the normal anatomy. It is this paradox that will assure their effectiveness and stability.

The operation should be carried out by a surgeon who is familiar with this particular type of surgery. It involves about one week of hospitalisation and two months of rehabilitation. This prosthesis will permit a restoration of the complete functioning of the knee and in particular concerning mobility, stability and pain.

Under the condition of using this prosthesis only in primary knee cap arthrosis without an axis deviation of the inferior member, excellent results have been obtain in more than ninety percent of the cases that already have a ten year hindsight.

       
 

  Figure a1: Vertical opening
  Figure a2: Choosing the size
       
 
  Figure b1: Preparation of the bone surface with ablation of the osteophytes
  Figure b2: Front view
       
 
  Figures c1 et c2 : Preparation of the bone surface    
       
 
  Figures d1 et d2: Pose of the trial prosthesis    
       
 
  Figures f1 et f2: Preparation of the kneecap    
       
 
  Figures g1 et g2 : Testing the prosthesis    
       


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