Patellar Resurfacing in Total Knee Replacement: Five-Year Clinical and Economic Results of a Large Randomized Controlled Trial

Breeman, Suzanne; Campbell, Marion K; Dakin, Helen; Fiddian, N. J.; Fitzpatrick, Ray; Grant, Adrian; Gray, Alastair; Johnston, Linda; MacLennan, Graeme; Morris, Richard W; Murray, David

doi:10.2106/jbjs.j.00725

Cited by 84 publications

(62 citation statements)

References 30 publications

(23 reference statements)

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“…One year was determined as the principal follow-up interval because it has been demonstrated that the majority of the functional improvement after knee arthroplasty is within the first year [7,21,6,23]; a subset of these patients have attained five years' follow-up and we also present their five-year data.…”

Section: Methodsmentioning

confidence: 99%

Preoperative pain location is a poor predictor of outcome after Oxford unicompartmental knee arthroplasty at 1 and 5 years

Liddle

Pandit

Jenkins

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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Section: Methodsmentioning

confidence: 99%

Preoperative pain location is a poor predictor of outcome after Oxford unicompartmental knee arthroplasty at 1 and 5 years

Liddle

Pandit

Jenkins

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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“…However, they were not clearly in favor of the method of patellar resurfacing [38] . More recently, in 2011, Breeman et al [39] in a randomized controlled trial with a 5-year follow-up, found that this method did not have a significant impact on functional outcomes, reoperation rate, and total healthcare cost. Also in 2011, Pavlou et al [40] expressed the same opinion by performing a meta-analysis which indicated that patellar resurfacing did not significantly affect anterior knee pain and functional outcomes.…”

Section: Patella Resurfacing or Not?mentioning

confidence: 99%

“…No difference in anterior knee pain Breeman et al [39] Multicenter, randomized controlled trial. Patellar resurfacing or not No significant difference between the 2 groups regarding functional outcome, reoperation rate, and total health care cost at 5 yr post TKR Pavlou et al [40] Meta-analysis of Level-I randomized controlled trials.…”

Section: Ref Type Of Study Outcomementioning

confidence: 99%

Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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Total knee replacement (TKR) is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. However, some technical details, concerning the surgical procedure and the rehabilitation following total knee arthroplasty, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, in an effort to shed light on some of the most controversial subjects related to TKR surgery. Posterior-stabilized or cruciate-retaining prosthesis? To use a tourniquet during operation or not? Do patients need continuous passive motion for their post-surgery rehabilitation? To resurface patella or not? These are some of the most controversial topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. At the same time, it is becoming apparent that a meticulous operative technique, respecting the soft tissue envelope and knowing the principles of alignment and soft tissue balancing, are some of the parameters that might contribute more to achieving the optimal results for the patients. Key words: Total knee replacement; Controversy; Literature review; Patella resurfacing; Patella eversion; Posterior stabilized; Cruciate retaining; Tourniquet; Continuous passive motion Core tip: A literature review has been conducted in an effort to present the best available evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery. Patella resurfacing or not? Posterior cruciate retaining or sacrificing? Continuous passive motion or not? Tourniquet or not? These are some of the most debatable topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.Nikolaou VS, Chytas D, Babis GC. Common controversies in total knee replacement surgery: Current evidence. World J Orthop 2014; 5(4

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“…[12][13][14][15][16][17] Proponents of retention of the native patella claim that it has no affect on total healthcare cost, reoperation rate or functional outcome and has a lower complication rate. [18][19][20][21] TKA is one of the most commonly performed operations in adult reconstructive surgery and there currently exists three different approaches among orthopedic surgeons regarding patellar resurfacing: resurfacing all patellae, not resurfacing all patellae, and selective resurfacing for patients with significant pre-operative patellofemoral arthritis-related symptoms and/or advanced patellofemoral arthritis on radiographs. Certain advantages and possible complications reported in the literature can guide the surgeon toward establishing a practice paradigm.…”

Section: Introductionmentioning

confidence: 99%

Native Patella Retention Versus Resurfacing in a Cohort of Staged Bilateral Total Knee Patients

Head

Nelson²,

Dyball³

et al. 2017

ReconRev

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Background: Patellar resurfacing in total knee arthroplasty remains a point of controversy within the literature and the generally followed paradigm varies among regions.Methods: In effort to elucidate a difference following the change from universal patellar resurfacing to universal non-resurfacing, 32 patients with bilateral TKA that included one resurfaced and one native patella were retrospectively reviewed at average follow up 21.4 months from the most recent surgery.Results: No difference was observed in patient satisfaction, KOOS-ADL score, and VAS scores. No complications or secondary patellar resurfacing occurred.Conclusions: Therefore, patients perceive no difference between knees with native patella retention or a resurfaced patella in regards to pain and function.

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Patellar Resurfacing in Total Knee Replacement: Five-Year Clinical and Economic Results of a Large Randomized Controlled Trial

Cited by 84 publications

References 30 publications

Preoperative pain location is a poor predictor of outcome after Oxford unicompartmental knee arthroplasty at 1 and 5 years

Preoperative pain location is a poor predictor of outcome after Oxford unicompartmental knee arthroplasty at 1 and 5 years

Common controversies in total knee replacement surgery: Current evidence

Native Patella Retention Versus Resurfacing in a Cohort of Staged Bilateral Total Knee Patients

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