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The partial Lateral Facetectomy
255
surgical technique is difficult to master for
inexperienced surgeons. Total knee arthroplasty
shows good results for patellofemoral
osteoarthritis. Particular technical difficulties
such as patellar tracking are well known by
surgeons to avoid these pitfalls. According to
Yercan, total knee arthroplasty may be a good
surgical method of choice for patients who are
elderly, severely disabled, bilaterally involved,
and for patients who engage in only mild
physical activities. However, in young and
more active patients who have isolated patello
femoral osteoarthritis, total knee arthroplasty is
not the best solution for a durable result.
Conclusion
Partial lateral facetectomy is a simple and
reliabletreatmenttotreatisolatedpatellofemoral
osteoarthritis. On failure, this technique has the
advantage of not compromising the establish
ment of a total knee arthroplasty.
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