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J Knee Surg 2024; 37(03): 175-182
DOI: 10.1055/s-0043-1761201
Original Article

Occupational and Functional Outcomes following Patellofemoral Arthroplasty in U.S. Military Servicemembers

Tuesday F. Fisher
1   Orthopedic Surgery and Rehabilitation, Evans Army Community Hospital, Fort Carson, Colorado
,
Danielle E. Rider 
2   Orthopedic Surgery, Emory University School of Medicine, Atlanta, Georgia
,
Brian R. Waterman
3   Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina
,
Philip J. Belmont
4   Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland
› Institutsangaben Funding None.
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Abstract

The functional outcomes in patients undergoing patellofemoral arthroplasty (PFA) with high occupational demands have not been fully examined. This study assessed return to work and conversion to TKA rates following PFA in a young, military cohort. Patient demographics, pain scores, and surgical information were retrospectively collected for all active-duty military members who underwent PFA over a 4-year period. The data were then analyzed to calculate return to work, conversion to TKA, and perioperative complications rates. A total of 48 servicemembers with 60 total PFAs (36 unilateral, 12 bilateral) were included, with a mean follow up of 2.2 years. At the final follow-up, 83% of servicemembers returned to military service or completed their service obligation after PFA. Conversion to TKA occurred in three (6.2%) patients at an average of 2.4 years after PFA, resulting in a PFA annual revision rate of 2.3%. The mean numeric rating scale for pain improved from 4.9 ± 2.6 at baseline to 2.5 ± 2.0 postoperatively (p < 0.001). Servicemembers with at least one prior ipsilateral knee procedure had a significantly decreased odds ratio (OR) for both occupational outcome failure (OR, 0.03; 95% confidence interval [CI], 0–0.29) and overall failure (OR, 0.13; 95% CI, 0.02–0.78). At an average of 2 years following PFA, 83% of military members returned to duty, with a low rate of revision to TKA. Prior ipsilateral knee procedure decreased the probability of medical separation.

Level of Evidence IV

Keywords

patellofemoral arthroplasty - military - functional outcome - physical activity


Publikationsverlauf

Eingereicht: 27. Juli 2022

Angenommen: 16. Dezember 2022

Artikel online veröffentlicht:
31. Januar 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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