Highlights • Osteolysis can occur in the patella without a patellar prosthesis.• Increased shelf-age and lower sterilization dose of inserts predispose for osteolysis.• Conventional radiographs lack sensitivity in detecting and… Click to show full abstract
Highlights • Osteolysis can occur in the patella without a patellar prosthesis.• Increased shelf-age and lower sterilization dose of inserts predispose for osteolysis.• Conventional radiographs lack sensitivity in detecting and monitoring osteolysis.• Insert exchange, implant anchorage/alignment and bone defects are surgical priorities.• Although bone defects can be massive, no total revision is needed with good anchorage.
               
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