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Patellofemoral (Kneecap)
Replacement in Perth, WA

Patellofemoral joint replacement is a highly effective option for patients whose knee arthritis is limited to the underside of the kneecap and its groove in the femur.

Dr. Duff offers robotic-assisted patellofemoral replacement for appropriately selected patients across Western Australia.

Patellofemoral
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Targeted Joint Resurfacing for Kneecap Arthritis

A patellofemoral replacement resurfaces the contact area between the back of the kneecap (patella) and the trochlear groove at the end of the thigh bone. The procedure uses:

  • A highly engineered plastic implant to replace the cartilage behind the kneecap
  • A metal implant to resurface the groove in which the kneecap tracks


This allows the kneecap to glide smoothly, reducing pain and restoring function. The main tibiofemoral compartments (the inner and outer parts of the knee) are left untouched if healthy, making this a joint-preserving procedure.

Knee pain

Who Is a Suitable Candidate?

This procedure is best for patients with:

  • Isolated arthritis affecting only the patellofemoral joint
  • Preserved cartilage in the tibiofemoral compartments
  • Osteoarthritis or post-traumatic arthritis (not inflammatory arthritis like rheumatoid)
  • Good alignment and preserved knee ligaments


Dr. Duff will assess your suitability using detailed imaging and clinical examination. A key factor is ensuring the rest of the knee is healthy enough to benefit from a partial approach.

This partial knee procedure offers faster recovery, less stiffness, and a more natural feel than total replacement. Ideal for patients with isolated patellofemoral arthritis and healthy surrounding joint structures.

Its benefits include:

  • Preserves most of your natural knee anatomy
  • Typically feels more natural than a total knee replacement
  • Allows faster recovery with earlier return to daily activities
  • Less swelling and stiffness post-op
  • Potential to maintain higher activity levels than full replacement
  • Lower surgical trauma and shorter hospital stay

As a type of partial knee replacement, this procedure preserves the main weight-bearing parts of the knee while restoring smooth movement and relieving pain.

As with any orthopaedic procedure, risks include:

  • Infection
  • Blood clots
  • Joint stiffness
  • Wound healing issues
  • Progression of arthritis in the rest of the knee
  • Conversion to total knee replacement (the most common reason for revision)
  • Careful patient selection is critical to long-term success.


Dr. Duff’s experience and advanced imaging techniques help reduce the risk of early revision.

Hospital Stay
Surgical process

Your Hospital Stay

What to expect before, during, and after surgery, from the minimally invasive procedure to early mobilisation and your hospital stay.

  • Surgery is performed through a minimally invasive anterior incision
  • Robot-assisted planning may be used for improved implant accuracy
  • Most patients stand the day of surgery and begin walking the next day
  • A routine X-ray is done post-operatively
  • Knee movement and full weight bearing are encouraged immediately


Hospital Stay:

  • Typically 1–2 nights


Recovery Timeline:

  • Crutches for 2–4 weeks
  • Driving resumes around 4 weeks post-op, depending on progress
  • Patients must avoid overexertion in the early weeks to protect the healing joint
partial vs total knee replacement

Understanding the differences

Choosing between a patellofemoral replacement and a total knee replacement depends on the distribution of arthritis:

  • If arthritis is confined to the kneecap, a partial replacement can be an excellent option.
  • If early wear exists elsewhere in the knee, a total replacement may be a better long-term solution.


The most common reason for revision of a patellofemoral implant is arthritis developing in the other compartments of the knee. In such cases, conversion to a total knee replacement is typically straightforward.

Book a Patellofemoral Replacement Assessment

If you have kneecap arthritis that has not responded to physiotherapy or other non-surgical treatments, patellofemoral replacement may offer relief while preserving your natural knee.

 

Dr. Samuel Duff provides comprehensive assessment and surgical care in Perth, WA.