Significantly Worse Fixation of Cemented Patellar Components on Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging Compared to Femoral and Tibial Components: A Cause for Concern?

Debbi, Eytan M.; Mayman, David J.; Sapountzis, Nicolas; Hawes, Joseph M.; Cororaton, Agnes D.; Potter, Hollis G.; Haas, Steven B.; Chalmers, Brian P.

doi:10.1016/j.arth.2023.02.035

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…This finding drives the decision to resurface the patella among a majority of resurfacing proponents because surgeons aim to remove this variable from the AKP equation after TKA. Interestingly, a recent study questions this argument because poor patellar fixation was noted to potentially be a source of AKP 28 . Although increased rates of revision in the nonresurfaced patella is a well-documented occurrence, available evidence shows limited to no improvement of AKP after secondary resurfacing 29 .…”

Section: Patellar Factorsmentioning

confidence: 99%

Anterior Knee Pain After Total Knee Arthroplasty

2023

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» Despite the widespread success of total knee arthroplasty (TKA), postoperative anterior knee pain (AKP) remains a common occurrence and source of dissatisfaction with several readily discernible and diagnosable causes of AKP after TKA, including component malpositioning, infection, wear and osteolysis, instability, and loosening, among others.» In the setting of the well-appearing but painful TKA, potential intraoperative contributors to AKP have been extensively investigated, but remain controversial and include patellar resurfacing, patellar denervation, and patellofemoral joint overstuffing or understuffing.» Intraoperative management of peripatellar soft tissues has comparatively attained substantially less attention recently, and persistent controversy exists in the literature to make informed decisions on soft-tissue management and identify potential contributors to AKP.» Further investigations and research is needed, including exploration of multifactorial or alternative etiologies, specifically ones related to less obvious soft-tissue–related factors, needed to better understand and ultimately avoid AKP after TKA.

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Section: Patellar Factorsmentioning

confidence: 99%

Anterior Knee Pain After Total Knee Arthroplasty

2023

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“…These authors from Singapore investigated clinical outcomes following first ray amputation, with a focus on the impact of the residual first metatarsal length. 2 This study was a retrospective review, including all patients over 21 years of age who underwent an isolated index first ray amputation due to diabetesrelated complications between January 2012 and December 2016. Data were collected on complications and clinical outcomes.…”

Section: Foot and Anklementioning

confidence: 99%

“…Confusingly, there is no clear understanding of this phenomenon; a recent comprehensive study has given particular attention and a fresh and illustrative look, conducted by the Hospital for Special Surgery in New York (New York, USA) . 2 The study team employed the Multiacquisition Variable-Resonance Image Combination (MAVRIC) MRI technique to investigate the bone-cement-implant interface in patients experiencing persistent pain following their TKA procedure. This study stands out for its decent sample of 279 knees examined with a single implant and surgical technique.…”

Section: Anterior Knee Pain Following Total Knee Arthroplasty: Does T...mentioning

confidence: 99%

Knee

2023

Bone &Amp; Joint 360

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The August 2023 Knee Roundup360 looks at: Curettage and cementation of giant cell tumour of bone: is arthritis a given?; Anterior knee pain following total knee arthroplasty: does the patellar cement-bone interface affect postoperative anterior knee pain?; Nickel allergy and total knee arthroplasty; The use of artificial intelligence for the prediction of periprosthetic joint infection following aseptic revision total knee arthroplasty; Ambulatory unicompartmental knee arthroplasty: development of a patient selection tool using machine learning; Femoral asymmetry: a missing piece in knee alignment; Needle arthroscopy – a benefit to patients in the outpatient setting; Can lateral unicompartmental knees be done in a day-case setting?

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