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An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

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An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

Armin Runer, PD MD, GERMANY Jonas Pogorzelski, MD, PhD, MHBA, GERMANY Hugo Bothorel, MEng, SWITZERLAND Philippe Matthias Tscholl, MD, SWITZERLAND Matthias Cotic, MSc, GERMANY Sebastian Siebenlist, MD, MHBA, Prof., GERMANY Andreas B. Imhoff, MD, Prof. Emeritus, GERMANY

Department of Sports Orthopaedics, Technical University of Munich, Munich, GERMANY

2025 Congress ePoster Presentation 2025 Congress Not yet rated

Anatomic Location

Knee Patellofemoral

Diagnosis / Condition

Osteoarthritis

Sports Medicine

Outcome Studies

Treatment / Technique

Arthroplasty

Patellofemoral

Patellofemoral Osteoarthritis

Summary: A trochlear inlay component featuring an enlarged trochlear design demonstrated superior improvement in patient-reported outcome measures, with both clinically and statistically significant differences, as well as a lower failure rate at 2-year follow-up compared to a conventional design.

To compare the two-year outcome after primary isolated patellofemoral inlay arthroplasty (PFIA) using two second-generation inlay trochlear component designs. We hypothesized that an enlarged trochlear component design (HemiCAP® Kahuna, Anika Therapeutics) would produce better patient reported outcome measures than a common design (HemiCAP® Wave, Anika Therapeutics).

Methods

This was a retrospective comparative study of primary isolated PFIA. Cases were retrieved from a prospective database and divided into two groups based on inlay trochlear component design (Wave/Kahuna). An independent observer collected the following data preoperatively and at two years postoperatively: The WOMAC, VAS for pain score, the Tegner scale and tibiofemoral osteoarthritis progression. A clinical failure was defined as an overall WOMAC score <43 at the end of follow-up but no revision surgery.

Results

Of the 157 PFIAs assessed for eligibility, 44 could be enrolled and divided into two groups of 22 patients. Five patients were subsequently excluded in each group, leaving finally 17 patients for the final analysis. Both groups had similar preoperative characteristics. VAS for pain improved significantly in both groups (p <0.05). Significant improvements were found in all WOMAC scores for the Kahuna group (p <0.05) but not for the Wave group (p >0.05). The overall WOMAC, function and pain subscores, were significantly better in the Kahuna group compared to the Wave group (p <0.05). No significant progression of tibiofemoral OA was observed in both groups (p <0.05). Overall failure rate for the Kahuna group (n=22) was 13.6% (3 revision arthroplasties) and 36.4% (3 revision arthroplasties, 5 overall WOMAC scores <43) for the WAVE group (n=22).

Conclusion

Both trochlear component designs reduced knee pain and prevented TFOA progression. However, a trochlear inlay component featuring an enlarged trochlear design demonstrated superior improvement in patient-reported outcome measures, with both clinically and statistically significant differences, as well as a lower failure rate at 2-year follow-up compared to a conventional design.

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Clinical and Radiological Comparison of Unicompartmental vs Patellofemoral vs Total Knee Arthroplasty ePoster Presentation Kewin Sony, MBBS, MRes, UNITED KINGDOM Oday Al-Dadah, MBChB, MD, FRCS (Tr & Orth), UNITED KINGDOM
Three-Dimensional Evaluation Of Distal Femoral Valgus Angle Using Whole Leg CT In Total Knee Arthroplasty ePoster Presentation Atsushi Sato, MD, PhD, JAPAN Marika Mukunoki, MD, JAPAN Takayuki Koya, MD, PhD, JAPAN Misako Takizawa, MD, JAPAN Reo Nagasaka, JAPAN Kanako Izukashi, MD, JAPAN Masataka Ota, MD, JAPAN Jun Oike, MD, PhD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Saki Yagura, MD, JAPAN Koji Kanzaki, Prof., JAPAN
Double-blinded Prospective Randomized Clinical Trial in Total Knee Arthroplasty: Impact of Tourniquet Inflation Timing on Postoperative Pain, Joint Function, and Quality of Life ePoster Presentation Po-Yao Wang, MD, TAIWAN Ting-Chun Lin, TAIWAN Chia-Hui Wang, PhD, TAIWAN Jia-Lin Wu, MD, MS, TAIWAN
Robot Assisted Total Knee Arthroplasty and Navigation Assisted Total Knee Arthroplasty : A Comparative study with a focus on Severe Varus Deformities. ePoster Presentation Rajesh Maniar, INDIA Adit Rajesh Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Ishan Khanna, MBBS, MS, INDIA Pranav Shere, MS,DNB , INDIA Anish Nandkumar Tawde, M. S. Orthopaedics , INDIA
Differences In Coronal Plane Alignment Of The Knee (CPAK) Measured On Long-Leg Radiographs Compared To Computed Tomography For The Patients Undergoing Total Knee Arthroplasty ePoster Presentation Kohei Kawaguchi, MD, PhD, JAPAN Mei Lin Tay, PhD, NEW ZEALAND Bill Farrington, FRCS, NEW ZEALAND Rupert S Van Rooyen, MBChB, FRACS, NEW ZEALAND Matthew Walker, MBChB, FRACS, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Joint Line Convergence Angle After Total Knee Arthroplasty: Comparison Between Mechanical V/S Patient-Specific Alignment With Robotic Assisted Surgery: Retrospective Data Of 98 Patients ePoster Presentation David H. Figueroa, MD, CHILE Waldo Gonzalez Duque, MD, CHILE Loreto Figueroa, MD, CHILE Francisco Figueroa, MD, CHILE Rodrigo Guiloff, MD, Prof, CHILE
Investigation Of Factors Predicting Postoperative Alignment In Unicompartmental Knee Arthroplasty For Knees With Over 10 Degrees Of Varus Deformity. ePoster Presentation Masaki Mori, MD, PhD, JAPAN Naoto Date, MD, JAPAN Kengo Kaji, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN
Experience in Correcting Varus and Valgus Deformities in Total Knee Arthroplasty Using Robotic Assistance ePoster Presentation Hector Zamorano, MD, CHILE Roberto Yañez, MD,phD,prof, CHILE Sebastian Valdes, student, CHILE Gaston Caracciolo, CHILE Cristobal Yañez, MD, CHILE Sebastian Yanez, MD, CHILE Leonardo Javier Carabajal Vera, MD, ARGENTINA Lars Raymond Strömback, MD, CHILE Magaly Iñiguez, MD, CHILE
An Artificial Intelligence-Based Approach In Total Knee Arthroplasty ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Sergio De Salvatore, MD, ITALY Federica Valente, MD, ITALY Bruno Violante, MD Ph.d, ITALY Mariajose Villa Corta, MD, ITALY Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Giuseppe Salvatore, MD, PhD, ITALY Alessandra Berton, MD, ITALY Letizia Mancini, MD, ITALY Vincenzo Candela, MD, PhD, ITALY Arianna Carnevale, PhD, ITALY Rocco Papalia, MD, PhD, Prof., ITALY
Lateral Laxity is Related to the Postoperative Kinematics and Knee Symptoms After Total Knee Arthroplasty Using Medial Stabilizing Technique with a Navigation System ePoster Presentation Takahiro Tsushima, MD, PhD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Kazuki Oishi, MD, JAPAN Yukiko Sakamoto, MD, PhD, JAPAN Yuka Kimura, MD, PhD, JAPAN Eiichi Tsuda, Prof., JAPAN Yasuyuki Ishibashi, MD, JAPAN
Operator variation in applying the AtMoves knee loading device for evaluation of tibial component loosening ePoster Presentation George Samuel Buijs, MD, NETHERLANDS Maaike Annemiek ter Wee, MSc, NETHERLANDS Chiel Klein, BSc, NETHERLANDS Lidwine B. Mokkink, PhD, NETHERLANDS Johannes Dobbe, PhD, NETHERLANDS Mario Maas, MD, PhD, NETHERLANDS Matthias U. Schafroth, MD, NETHERLANDS Geert Streekstra, PhD, NETHERLANDS Leendert Blankevoort, PhD, NETHERLANDS Arthur Johan Kievit, MD, NETHERLANDS
Higher Preoperative Knee Extensor Strength Could Be Beneficial In Reducing Total Blood Loss In Total Knee Arthroplasty ePoster Presentation Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF Yong-Beom Park, MD, PhD, KOREA, REPUBLIC OF
High ten years survivorship and functional results of robotic-arm-assisted lateral unicompartmental knee arthroplasty ePoster Presentation Guido Maritan, MD, ITALY Mattia Berti, MD, ITALY Federico Roman, MD, ITALY Emanuele Furlan, MD, ITALY
Association Between Surgeon Volume And Patient Outcomes After Elective Patellofemoral Joint Replacement Surgery Using Data From The National Joint Registry And Hospital Episode Statistics For England: Population Based Cohort Study ePoster Presentation Martinique Vella-Baldacchino, MD, MRCS, PG CERT (HEALTH LEADERSHIP), IOC DIp Spo, UNITED KINGDOM Alex Bottle, Phd, UNITED KINGDOM Justin Cobb, MCh FRCS, UNITED KINGDOM Alex D Liddle, MBBS BSc DPhil FRCS(Orth), UNITED KINGDOM
Large Variance in a Lateral Osteoarthritic Population Prior to and Following Lateral Unicompartmental Arthroplasty: An Analysis of Knee Phenotypes ePoster Presentation Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Roderick J.M. Vossen, MD, UNITED STATES Gaby Victoria Ten Noever De Brauw, NETHERLANDS Lindsey Ruderman, BA, UNITED STATES Tarik Bayoumi, MD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS Andrew D. Pearle, MD, UNITED STATES
The Effect Of Excessive Alignment Correction And Limb Length Discrepancy After Total Knee Arthroplasty On Contralateral Lower Extremity Alignment And Knee Condition ePoster Presentation Seung Hoon Lee, MD, KOREA, REPUBLIC OF
Factors Affecting Final Saggital Alignment In Robotic Total Knee Replacement ePoster Presentation George Jacob, MBBS, MS Ortho, FAOrthA, INDIA Yoong Lim, BEng, PhD, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Functional Recovery in Staged Bilateral Total Knee Arthroplasty ePoster Presentation Shinichiro Nakamura, MD, PhD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Yugo Morita, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Longer Hospital Length of Stay After Total Knee Arthroplasty is an Independent Risk Factor for Increased Complication Rates ePoster Presentation Logan Finger, MD, UNITED STATES Kelly A Murphy, BS, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Mid To Long-Term Results Of Medial Unicompartmental Knee Arthroplasty : Mobile Versus Fixed-Bearing ePoster Presentation Sumin Lim, MD, PhD, KOREA, REPUBLIC OF Jun-Young Chung, MD, KOREA, REPUBLIC OF Tae Hun Kim, MD, KOREA, REPUBLIC OF Jeong-Hyun Koh, MD, KOREA, REPUBLIC OF Jeong Sunwoo, MD, KOREA, REPUBLIC OF Myung-Sub Lee, MD, KOREA, REPUBLIC OF
Primary Followed by Revision Total Knee Arthroplasty at Non-Tertiary Centers Have Higher Risk of Complications ePoster Presentation Logan Finger, MD, UNITED STATES Yunseo Linda Park, BS, UNITED STATES Matthew Como, BS, UNITED STATES Nicolas Aycardi, BS, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Almost 79% Survival Rate At 10-Year Follow-Up For The Patellofemoral Joint Arthroplasty: A Registry Study ePoster Presentation Piero Agostinone, MD, ITALY Anna Pagano, MD, ITALY Domenico Alesi, MD, ITALY Alberto Grassi, PhD, ITALY Stefano Zaffagnini, MD, Prof., ITALY
The Impact Of Aging On Recovery And Satisfaction In Knee Replacement Patients ePoster Presentation Tess L.Y Tsoi , MBChB, HONG KONG Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Predictors of High Oxford Knee Scores at 1 year Following TKR - Analysis of 4126 knees at a Single Centre ePoster Presentation Payam Tarassoli, MBChB, BSc, DipSEM, MD, FRCS, AUSTRALIA Yoong Lim, BEng, PhD, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Knees With Lateral Compartment Osteoarthritis Show A Substantial Variability In Functional Knee Phenotypes With Gender-Specific And Age-Related Differences: Phenotypic Analysis Of 305 Knees ePoster Presentation Gaby Victoria Ten Noever De Brauw, NETHERLANDS Tarik Bayoumi, MD, NETHERLANDS Lindsey Ruderman, BA, UNITED STATES Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Andrew D. Pearle, MD, UNITED STATES
Anxiety And Depression Prior To Total Knee Arthroplasty Are Associated With Worse Pain And Subjective Function: A Prospective Comparative Study ePoster Presentation Margot B. Aalders, MD, NETHERLANDS Jelle P. van der List, MD, PhD, NETHERLANDS Dirk Jan Hofsteee, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS Joyce L. Benner, PhD, NETHERLANDS
Influence of Femorotibial Posterior Overhang and Posterior Tibial Slope on Patellar Changes After TKA ePoster Presentation Shunsuke Utsumi, MD, JAPAN Takashi Aki, PhD, JAPAN Masayuki Kamimura, JAPAN Kento Harada, MD, JAPAN Toshimi Aizawa, JAPAN
Association Between Prosthetic Component Malalignment and Post-Total Knee Arthroplasty Pain ePoster Presentation Luke James Naunton, UNITED KINGDOM Oday Al-Dadah, MBChB, MD, FRCS (Tr & Orth), UNITED KINGDOM
Robotic-Assisted Total Knee Arthroplasty is Associated With Shorter Surgical Time and Length of Stay and Decreased Risk for Revision ePoster Presentation Logan Finger, MD, UNITED STATES Nicolas Aycardi, BS, UNITED STATES Akeem Williams, BS, UNITED STATES Yunseo Linda Park, BS, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Mid-Term Outcomes Of Lateral Fixed-Bearing Unicompartmental Knee Arthroplasty ePoster Presentation Sumin Lim, MD, PhD, KOREA, REPUBLIC OF Jun-Young Chung, MD, KOREA, REPUBLIC OF Tae Hun Kim, MD, KOREA, REPUBLIC OF Myung-Sub Lee, MD, KOREA, REPUBLIC OF Jeong-Hyun Koh, MD, KOREA, REPUBLIC OF Jeong Sunwoo, MD, KOREA, REPUBLIC OF
Is It Really Worth Changing From Computer Navigation to Robotic Knee Replacement? A Prospective Study to Compare Patient Outcomes Following Robotic-Assisted and Computer-Navigated TKA ePoster Presentation Jacob O'Brien, B. Physiotherapy (Hons), AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA Myles R. J. Coolican, FRACS, AUSTRALIA
Short-term Outcomes of Robotic-Assisted Restricted Kinematic Alignment vs Mechanical Alignment in Unilateral Total Knee Arthroplasty ePoster Presentation Eiichi Shiigi, MD、PhD, JAPAN
Female Patients Depend More On Postoperative Outcomes In Assessing Satisfaction Than Male Patients After Total Knee Arthroplasty ePoster Presentation Yun Seong Choi, MD, KOREA, REPUBLIC OF Seung Hoon Lee, MD, KOREA, REPUBLIC OF
Predicting And Preventing Overcorrection In Medial Unicompartmental Knee Arthroplasty: A Radiographic Study Based On Long-Leg Films And Valgus Stress Views. ePoster Presentation Stefano Gaggiotti, MD, ARGENTINA Constant Foissey, MD, FRANCE Cécile Batailler, MD, PhD, FRANCE Elvire Servien, MD, PhD, Prof., FRANCE Santino Gaggiotti, MD, ARGENTINA Gabriel Gaggiotti, MD, ARGENTINA Sebastien Lustig, MD, PhD, Prof., FRANCE
All-Intra-Incisional-Pins In Robotic Total Knee Arthroplasty (TKA) As A New Standard Of Care – A Minimally Invasive Practical Technique Guide ePoster Presentation Glen Liau , MBBS, MRCS, MMed, FRCS, FAMS, MBA, SINGAPORE Ryan Wai Keong Loke, MBBS candidate, SINGAPORE Yu Liu, MBBS, SINGAPORE
Novel Algorithm for Gap Balancing and Bone Cuts in Robotic Total Knee Replacements Significantly Improves Accuracy and Surgical Duration ePoster Presentation Glen Liau , MBBS, MRCS, MMed, FRCS, FAMS, MBA, SINGAPORE Matthew Song Peng Ng, MBBS, SINGAPORE Ryan Wai Keong Loke, MBBS candidate, SINGAPORE
Short-term Results and Learning Curve of TKA with Robotic Arm ePoster Presentation Masayoshi Okuda, MD, PhD, JAPAN Yuki Kawaguchi, PT, JAPAN Shuhei Sugioka, MD, JAPAN Yusuke Inagaki, MD, PhD, JAPAN Yasuhito Tanaka, Prof., JAPAN
The Mind Matters: Psychological Factors Influence Subjective Outcomes Following Unicompartmental Knee Arthroplasty - A Prospective Study ePoster Presentation Gaby Victoria Ten Noever De Brauw, NETHERLANDS Margot B. Aalders, MD, NETHERLANDS Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS Joyce L. Benner, PhD, NETHERLANDS
Use of Patient-Specific 3D-Printed Intraoperative Spacers in Complex Revision Total Knee Arthroplasty. Surgical Technique and Preliminary Results. ePoster Presentation Giulio Vittone, MD, ITALY Marcello Motta, MD, ITALY Marco Adriani, MD, ITALY Alberto Guizzi, ITALY Alessandro Colosio, MD, ITALY Giuseppe Milano, Prof., ITALY
Catastrophic Full Thickness Wear In Oxinium Knee Implants: A Case Report And Analysis Of Failure Mechanisms ePoster Presentation Naman Wahal, MBBS, MS Orthopaedics, INDIA RAJESH MALHOTRA, MS Orthopaedics, FIMSA, FRCS, FACS, INDIA
Virtual Reality Simulator For Knee Arthroplasty: Evaluating Content And Face Validity For Orthopaedic Residency Training ePoster Presentation Conor Rankin, MRCS MBChB BMedSci AFHEA, UNITED KINGDOM Joseph E McKay, MBChB BSc MRCS MMEd, UNITED KINGDOM Christopher Thornhill, BM BS BSc (Hons) MRCS, UNITED KINGDOM Roberto Alho, MBBS BSc MPhil FRCS, UNITED KINGDOM Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM
Changing amount of posterior tibial slope during unicompartmental knee arthroplasty does not affect short-term postoperative patients reported outcome measurement ePoster Presentation Ryo Tomita, MD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Hikaru Kristi Ishibashi, MD, JAPAN Hitoshi Kudo, PhD, JAPAN Hironori Otsuka, MD, JAPAN Takahiro Tsushima, MD, PhD, JAPAN Yukiko Sakamoto, MD, PhD, JAPAN Yuka Kimura, MD, PhD, JAPAN Yasuyuki Ishibashi, MD, JAPAN

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An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

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An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

An Inlay Patellofemoral Arthroplasty With An Enlarged Trochlear Component Design Results In Better Patient Reported Outcomes Measures And Lower Failure Rates Compared To A Traditional Design: A Two-Year Follow Up Study

Methods

Results

Conclusion