Selective Patellar Nonresurfacing in Total Knee Arthroplasty 10 Year Results

Kim, Byung Soon; Reitman, Richard D.; Schai, Pascal A.; Scott, Richard D.

doi:10.1097/00003086-199910000-00010

Cited by 84 publications

(56 citation statements)

References 26 publications

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“…The patella complications were found more often in the resurfaced group than in the group without resurfacing [12][13][14][15][16]. Further authors suggested a selective decision based on factors such as the patella thickness, the presence of preoperative anterior knee pain, the severity of degenerative changes in the patella or rheumatoid arthritis and the experience of the surgeon [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Systematic review of patellar resurfacing in total knee arthroplasty

Chen

et al. 2010

International Orthopaedics (SICOT)

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Controversies existing over resurfacing the patella in total knee arthroplasty remain in the literature. The purpose of this review was to evaluate the effectiveness of resurfacing versus nonresurfacing the patella in total knee arthroplasty. We searched the Cochrane Library, MEDLINE and EMBASE for published randomised clinical trials relevant to patellar resurfacing. The relative risk of reoperation was significantly lower for the patellar resurfacing group than for the nonresurfacing group (relative risk 0.57, 95% confidence interval 0.38-0.84, P=0.004). The overall incidence of postoperative anterior knee pain of the 1,421 knees included was 12.9% in the patellar resurfacing group and 24.1% in the nonresurfacing group. The existing evidence indicates that patellar resurfacing can reduce the risk of reoperation with no improvement in postoperative knee function or patient satisfaction over total knee arthroplasty without patellar resurfacing. Whether it can decrease the incidence of anterior knee pain remains uncertain.

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Section: Introductionmentioning

confidence: 99%

Systematic review of patellar resurfacing in total knee arthroplasty

Chen

et al. 2010

International Orthopaedics (SICOT)

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“…Many studies showed advantages in keeping the patella without resurfacing in specific conditions, like in young patients (age < 60), non-obese, in the absence of patellofemoral pain prior to TKA, congruent patellar tracking, absence of systemic disease with articular commitment, normal patellar shape and viable cartilage (Outerbridge I, II or III). Kim et al used these criteria, and found 97.5% satisfactory results in a 10-year follow-up [12]. Not resurfacing the patella can provide the cartilage and subchondral bone a biological adaptation and remodelling process.…”

Section: Discussionmentioning

confidence: 99%

Total Knee Arthroplasty: Patellar Replacement’s Influence in Patient Quality of Life Postoperatively

Schwartsmann¹,

Silva²,

Simionato³

et al. 2017

OJO

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Objective: To study the influence of patellar resurfacing on quality of life under a standardised score. The chosen score was the Knee Society Score (KSS), which considers range of motion, pain, contractors, alignment and stability. Methods: Retrospective review of 60 patients submitted to total knee arthroplasty (TKA) was divided into two groups: with patellar resurfacing (PR) and without patellar resurfacing (NPR). We reviewed data from these patients containing the KSS, which are routinely used in our service. Data were analysed from 2013 to 2014, with a minimal patient follow-up of 18 months. Results: There were no unsatisfactory scores in our study. Total scores (KSS) were similar between the groups (mean KSS: PR = 88.36 ± 9.64; NPR = 84.26 ± 9.44 [p = 0.1]). While stratifying into groups (poor, fair, good, excellent), we found excellent results in 84.8% of PR versus 59.3% NPR (p = 0.056). These data did not reach statistical significance and can therefore be considered a coincidental result. Conclusion: Although these results did not show statistical significance (p = 0.056), patellar resurfacing patients tend to get more "excellent" results after 18 months of follow-up in quality of life when evaluated by KSS. Perhaps a larger amount of patients would suffice to acquire statistical significance in a future study.

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“…This attempt is also necessary in order to avoid potential complications associated with unnecessary resurfacing [25][26][27][28][29][30][31][32]. The authors who support this procedure consider many patient-and prostheses-related factors as certain prerequisites in favor of the intervention.…”

Section: Discussionmentioning

confidence: 99%

Knee Arthroplasty: With or Without Patellar Component?

Solyom¹,

Ildikó

Csaba

et al. 2015

Acta Medica Marisiensis

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Arthroplasty is used when there is irreversible damage to the articular cartilage of the knee. It involves implanting a bicompartimental (femoral and tibial components) or a tricompartimental (femoral, tibial and patellar components) prosthesis. It is a very invasive and costly operation, so our objective was to evaluate the necessity of the patellar component. Material and methods: During our study we've included 39 patients: in 27 cases we used tricompartimental prosthesis, while the other 12 received only the bicompartimental components. Patients were evaluated preoperatively and postoperatively using the International Knee Documentation Comitee score. We've also compared our results with the results of other published authors. Results: We've found that there is little to no difference between the two groups regarding mobility and complication, however patients with bicompartimentalarthroplasty complained of less pain. Conclusion: We've found that bicompartimentalarthroplasty -being a less invasive procedure -is better not only in terms of pain management, but there is also less hemorrhaging, shorter intraoperative time is considered, revision is easier and also has financially advantages, both for the patient and for the medical facility.

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Selective Patellar Nonresurfacing in Total Knee Arthroplasty 10 Year Results

Cited by 84 publications

References 26 publications

Systematic review of patellar resurfacing in total knee arthroplasty

Systematic review of patellar resurfacing in total knee arthroplasty

Total Knee Arthroplasty: Patellar Replacement’s Influence in Patient Quality of Life Postoperatively

Knee Arthroplasty: With or Without Patellar Component?

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