Mr. Reed et al., Patellar stress fracture - A complication of knee joint arthroplasty without patellar resurfacing, J ARTHROPLA, 14(3), 1999, pp. 383-385
A case of patellar stress fracture after total knee arthroplasty in a man w
ith gout and previous osteonecrosis of the tall is reported. The combinatio
n of fat pad excision and lateral release causing disruption to the patella
r blood supply during primary total knee arthroplasty resulted in the devel
opment of a patellar fracture. Avascular necrosis, caused by gout, may form
part of the pathogenesis.