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The Patella (Kneecap) Is The Third Joint Surface In The Knee. It Glides Through A Groove On The Front Of The Femoral Component During Every Step You Take, Every Time You Climb Stairs, And Every Time You Rise From A Chair. When Arthritis Has Destroyed The Cartilage On The Back Of The Kneecap, Leaving That Surface Untreated Can Lead To Persistent Anterior Knee Pain Even After An Otherwise Successful Knee Replacement. That Outcome Is Something I Work Hard To Prevent For Every Patient. . Some Orthopedic Surgeons Resurface The Patella In Every Case And Others Leave It Alone. A Selective Approach Involves Directly Assessing The Cartilage Quality, Measure Patellar Thickness,.
And Test How The Kneecap Tracks In Real Time. No X Ray Or Mri Offers The Same Information We Get When The Joint Is Open In Front Of Us And Intraoperative Assessment Drives The Final Call. When Resurfacing, We Remove The Damaged Cartilage And A Thin Layer Of Bone, Then Cement A Precision Fit Polyethylene Component (Patellar Button) Onto The Remaining Bone. The Goal Is To Restore The Kneecap's Smooth Gliding Surface While Maintaining Enough Bone (Typically At Least 12 15 Mm) To Protect Against Fracture. Precise Resection And Correct Implant Positioning Are Critical. Errors In Either Direction Create Problems: Too Much Bone Removed Risks Fracture, Too Little Creates Overstuffing.
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