Atlanta Bone and Joint Specialists
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    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
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      • Omid Midanaky, PA-C
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      • Hip >
        • Total Hip Replacement
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        • Anterior Reference Knee Replacement
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        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
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      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
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        • Meniscus Tears
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      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
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    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery
  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Farhan Malik, M.D.
    • Julio Petilon, M.D
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Matt Crook, PA-C
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
  • Locations
  • Appointments
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Bianca
        • Tabatha
        • Meagan
        • Sandra
      • Billing >
        • Buffie
        • Jennifer
        • Vanessa
      • Scheduling >
        • Andrea
        • Farrah
        • Holly
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Melissa
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Hip >
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Hip and Knee Replacement
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • Blog
  • Español
  • How to Prepare and What to Expect Knee Surgery

Patellofemoral Replacement

Picture
Your guide to learning about the problem hiding beneath your kneecap

What is a patellofemoral replacement?

Patellofemoral replacement is done when you have arthritis that is isolated to the patellofemoral joint.  The patellofemoral joint is the joint surface underneath the patella and the trochlea, which is the groove where the kneecap resides while the knee bends.  This joint is very prone to wear and tear, especially in people who do lots of squatting.
The patellofemoral replacement fixes arthritis if it is only located under the kneecap, as seen in the picture.

How do I know if it is my patellofemoral joint?

X-Ray and clinical exam must be performed to determine if there is arthritis in the patellofemoral joint.  Typical complaints are usually severe pain going up and down stairs, isolated swelling to the front of the knee, grinding under the knee cap and pain with deep bending.
The procedure is rare due to the fact that this pattern of arthritis is not very common.  Most of the time, patients present with arthritis and have degenerative issues elsewhere in the knee, therefore, they are not candidates for the patellofemoral replacement.

Picture
Illustration showing severe wear and tear arthritis of the patellofemoral joint.

Treatment

As is the case in most orthopedic surgery, the mainstay of treatment is physical therapy and cortisone shots.  If these fail, an MRI may be ordered to further look at your knee and understand exactly where the arthritis is located. 
Surgery is indicated for those who fail conservative management.  The surgeon must evaluate multiple factors to see if you are a candidate for a patellofemoral replacement.


Picture
X-Ray showing a partial knee replacement in excellent position.

Rehabilitation

Like other joint replacement procedures, the recovery is very difficult.  Immediate weight bearing and therapy are started post operative day 1.  The procedure is routinely done as an outpatient.  Usually it takes around 3-4 months before patients feel significantly better.  Full range of motion should be attained within the first 2-3 weeks of surgery.  Swelling is very common for the first few months after surgery as well.
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  • Prior blood clot or pulmonary embolus
    • the #1 predictor of having another clot
  • Factor 5 Leiden
  • Von Willdebrands disease
  • Venous Statsis
  • Extensive immobilization after surgery
  • Lower Extremity surgery
  • Oral Contraceptive Birth Control

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​Call to Schedule Your Appointment Today
SE HABLA ESPAÑOL!


Office Hours

Mon-Fri: 9AM-5PM  


Telephone

Decatur                             404.296.5005
Loganville                         770.564.3393
Snellville                           770.985.9330

High School Football Season Added Coverage Hours

Saturdays During High School Football Season
Injury Clinic is for INJURED PLAYERS ONLY.
Snellville
ONLY.
9AM-10AM