Patellofemoral joint replacement: the Bristol perspective

With improvements to implant design , a better understanding of patellofemoral biomechanics, and a sound understanding of the correct surgical indications, patellofemoral joint replacement (PFR) has become an attractive surgical option for patients with isolated patellofemoral osteoarthritis (PFOA). However, PFR is a specialist procedure, with a number of essential pre- and intraoperative considerations that surgeons preforming the procedure must be cognisant of. The aim of this paper is to discuss a number of salient points that our institutions have found to be of great importance following over 30 years of experience in assessing and managing patients with PFOA and subsequent PFR.