Patellar resurfacing in total knee arthroplasty

Agrawal, Mayank; Jain, Vaibhav; Yadav, Ved Pal; Bhardwaj, Vikas

doi:10.1016/s0976-5662(11)60048-9

Cited by 6 publications

(3 citation statements)

References 44 publications

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“…Two systematic reviews and nine meta-analyses were found [ 22 , 76 – 85 ] (Table F in S1 Appendix ). All reviews concluded that patella resurfacing (compared to non-resurfacing) results in a lower risk of reoperation and no differences concerning patient-rated function and satisfaction, but they vary in terms of the effect of resurfacing on anterior knee pain.…”

Section: Resultsmentioning

confidence: 99%

Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries

et al. 2017

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BackgroundLack of evidence contributes to unnecessary variation in treatment costs and outcomes. This study aimed to identify from interventions historically used for total knee or hip arthroplasty (TKA, THA): i) if routine use is supported by high-level evidence; ii) whether surgeon use aligns with the evidence.MethodsPart 1: Systematic search of electronic library databases for systematic reviews and practice guidelines concerning seven acute-care interventions. Intervention-specific recommendations concerning routine use were extracted by assessors. Part 2: Prospective medical record audit of the acute-care received by 1900 patients involving 120 orthopaedic surgeons. Surgeon use per intervention was summarized using caterpillar plots. Surgeon-specific routine and non-routine use was defined as use in ≥ 90% and ≤ 10% of patients, respectively. Primary analysis included only surgeons contributing ≥ 10 patients.ResultsContinuous passive motion (TKA): Routine use not recommended; 85.7% of surgeons did not use it routinely. Tranexamic Acid: Routine use recommended; 26.9% of surgeons used it routinely. Cryotherapy: Routine use not recommended; 45.7% of surgeons used it routinely for TKA; 31.8% used it routinely for THA. Intra-articular drainage: Routine use not recommended for TKA, but possible benefits for THA; 5.7% of surgeons used it routinely for TKA, 0.0% used it routinely for THA. Antibiotic loaded bone cement: Routine use for TKA not supported, recommendations for use for THA are inconsistent; 90.0% of surgeons used it routinely for TKA, 100.0% used it routinely for THA. Patella resurfacing (TKA): No recommendation could be made; 57.1% of surgeons routinely resurfaced the patella. Indwelling urinary catheterisation: Routine use recommended; 59.6% of surgeons used it routinely.ConclusionRecommendations for routine use or not exist for some of the acute-care interventions examined. Surgeon practices vary widely even in the presence of high-level recommendations. It is unclear whether further evidence alone would lessen unwarranted practice variation.

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Section: Resultsmentioning

confidence: 99%

Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries

et al. 2017

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“…We also downgraded certainty of evidence if we judged studies to be at risk of bias. Several studies 11 , 52 , 53 , 54 had insufficient reporting of important QUIPS domains (such as attrition and statistical analysis), thus lowering the certainty that study estimates were unbiased. We suggest that researchers use tools like QUIPS at the study design stage to encourage low risk of bias in their findings regarding prognostic factors.…”

Section: Discussionmentioning

confidence: 99%

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis

et al. 2022

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“…Patellar komponent ile yüzey yenilemesi yapılan ve yapılmayan TDA'lar arasındaki çelişkili meta-analiz sonuçları, cerrahların patella ve ekstansör mekanizma konusundaki ihmalkârlığını daha da arttırmaktadır. [7][8][9][10][11] Doğal ve yüzey yenilemesi yapılan patella, mekanik özelliklerinin sonucu olarak patellar kayma (maltracking), temas alanı ve stresin yayılımı açısından birbirinden farklılık gösterir. Yüzey yenilemesi yapılan patellanın daha küçük bir temas alanına sahip olması, bu nedenle PFE'deki stres ve yüklenmenin artması dezavantaj olarak görülebilir.…”

Section: Total Di̇z Artroplasti̇si̇ Ve Patello-femoral Eklemunclassified

Primer total diz artroplastisinde karşılaşılan patello-femoral sorunlar ve çözümleri

Sur¹,

Kayıkçı²,

Aydoğdu³

2019

TOTBID

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PFE kökenli sorunların (örneğin diz önü ağrısı ya da patello-femoral ağrı) hastalar tarafından tolere edilebilmesi ve cerrahlarca sıklıkla revizyon endikasyonu olarak görülmemesi; cerrahi girişim gerektiren PFE kökenli sorunlarla ise (ekstansör mekanizma yırtıkları, patello-femoral instabilite) nispeten az sıklıkla karşılaşılmasıdır. G ünümüzde, total diz artroplastisi (TDA) sonrasında görülen komplikasyonlar arasında patello-femoral eklemi (PFE) ya da bir bütün olarak diz ekstansör mekanizmasını ilgilendirenler, gerek sıklık gerekse de ciddiyeti yönünden, enfeksiyon veya instabilite gibi diğer bazı komplikasyonlar kadar popüler değildir. Buradaki ana neden; sık görülen bazı Primer total diz artroplastisinde karşılaşılan patello-femoral sorunlar ve çözümleri Management of patello-femoral problems in primary total knee arthroplasty

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Patellar resurfacing in total knee arthroplasty

Cited by 6 publications

References 44 publications

Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries

Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis

Primer total diz artroplastisinde karşılaşılan patello-femoral sorunlar ve çözümleri

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