Determinants of anterior knee pain following total knee replacement: a systematic review

Jonbergen, Hans-Peter W. van; Reuver, Joost M.; Mutsaerts, Eduard L. A. R.; Poolman, Rudolf W.

doi:10.1007/s00167-012-2294-x

Cited by 89 publications

(88 citation statements)

References 58 publications

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“…In the 6 to 10 year (median 7.9 years) follow-up study the mobile bearing knees did not sustain the difference in AKP that had been found in the short-term study [12,13] . These results are comparable to the findings of other systematic reviews and/or meta-analysis, most of which have not shown an advantage of using a mobile bearing [22,36,[48][49][50][51] . Based on these results combined with a recent metaanalysis showing less AKP in the mobile bearing TKA, it seems that the debate can be reopened as to whether the mobile bearing TKA is part of the solution to AKP [52] .…”

Section: Regeneration Of Nervessupporting

confidence: 87%

“…A key aim of this study was to identify literature evaluating the different determinants of AKP after a TKA was found [2,8,9,12,13,15,18,22,23,[25][26][27]30,34,[36][37][38][39][40][41] . The articles reviewed confirm this study's hypothesis that anything that alters the patellofemoral joint (PFJ) mechanics can activate these FNEs and thus induce AKP after TKA [22] . It can further be hypothesised that the nociceptive system can be activated by several factors, either alone or in combination: Hoffa impingement, peripatellar synovitis, increased osseous pressure and mechanical changes that alter the PFJ in an abnormal way.…”

Section: Discussionmentioning

confidence: 99%

“…However, excessive pain after a TKA can diminish or hinder quality of life [12,21,22,27] . This form of pain typically originates in the peripheral nervous system (PNS) [27] .…”

Section: Pathophysiology and Etiology Of Painmentioning

confidence: 99%

“…Although numerous design improvements have reduced the incidence of AKP, nevertheless approximately 5%-10% of patients still experience Anterior Knee Pain (AKP)(ranging from 0.4%-49.0%) [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] . Many theories have been proposed to explain the etiology of AKP [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] . In sports medicine it has been observed that some patients can have severe patellofemoral pain while their articular cartilage appears normal, and that patients with severe patellofemoral cartilage damage can be pain free [26] .…”

Section: Introductionmentioning

confidence: 99%

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Anterior knee pain after a total knee arthroplasty: What can cause this pain?

Breugem¹,

Haverkamp²

2014

WJO

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Total Knee Arthroplasty has been shown to be a successful procedure for treating patients with osteoarthritis, and yet approximately 5%-10% of patients experience residual pain, especially in the anterior part of the knee. Many theories have been proposed to explain the etiology of this anterior knee pain (AKP) but, despite improvements having been made, AKP remains a problem. AKP can be described as retropatellar or peripatellar pain, which limits patients in their everyday lives. Patients suffering from AKP experience difficulty in standing up from a chair, walking up and down stairs and riding a bicycle. The question asked was: "How can a 'perfectly' placed total knee arthroplasty (TKA) still be painful: what can cause this pain?". To prevent AKP after TKA it is important to first identify the different anatomical structures that can cause this pain. Greater attention to and understanding of AKP should lead to significant pain relief and greater overall patient satisfaction after TKA. This article is a review of what pain is, how nerve signalling works and what is thought to cause Anterior Knee Pain after a Total Knee Arthroplasty.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words:Anterior knee pain; Patellofemoral pain; Total knee arthroplasty; Malrotation; Homeostasis Core tip: Total knee arthroplasty (TKA) has been shown to be a successful procedure for treating patients with osteoarthritis, and yet approximately 5%-10% of patients experience anterior knee pain (AKP). To prevent AKP after TKA it is important to first identify the different anatomical structures that can cause this pain. Greater attention to and understanding of AKP should lead to significant pain relief and greater overall patient satisfaction after TKA. This article is a review of what pain is, how nerve signalling works and what is thought to cause AKP after a TKA.Breugem SJM, Haverkamp D. Anterior knee pain after a total knee arthroplasty: What can cause this pain? World

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Section: Regeneration Of Nervessupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

“…However, excessive pain after a TKA can diminish or hinder quality of life [12,21,22,27] . This form of pain typically originates in the peripheral nervous system (PNS) [27] .…”

Section: Pathophysiology and Etiology Of Painmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterior knee pain after a total knee arthroplasty: What can cause this pain?

Breugem¹,

Haverkamp²

2014

WJO

View full text Add to dashboard Cite

show abstract

“…This condition reduces patient satisfaction and limits patient post-operative activity and is a common cause of revision surgery. 1,2 It was reported that 5-10% of patients had anterior knee pain after TKR. 3 Resurfacing or patellar non-resurfacing in TKR is still a controversial topic among surgeons.…”

Section: Introductionmentioning

confidence: 99%