Patellar resurfacing

Written by Dr Sheila Strover on March 14, 2025

Patellar resurfacing is a surgical procedure to replace the joint surface of the patella.

Illustration demonstrating that the undersurface of the patella is removed and a polyethylene button cemented in to replace it.

Illustration of a patella where the rear surface has been removed and replaced with a plastic button.

Is patellar resurfacing a good procedure?

The procedure is performed when joint cartilage destruction affects the underside of the patella, causing pain.

It may be done as part of a patellofemoral resurfacing procedure, where a trochlear implant is also used for the groove of the femur, but the main tibio-femoral joint surfaces of the knee are left intact. The jury seems to be out when it comes to evaluating whether or not patellar resurfacing is always a good procedure.

"The orthopaedic community...remains deeply divided regarding the issue of patellar resurfacing"

Back to top

A-Z Keywords - Focal implant, Unicompartmental arthritis, Patellofemoral resurfacing

Forum discussions

Back to top