The role of infrapatellar fat pad resection in total knee arthroplasty

White, Leigh; Melhuish, Thomas

doi:10.1136/annrheumdis-2016-210037

Cited by 13 publications

(11 citation statements)

References 10 publications

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“…Although less anterior knee pain was also suggested in patients with IFP resection, the incidence of knee pain following TKA is generally quite low [78]. Additional benefits for IFP retention may include the reduction in wound complications, such as delayed wound healing and persistent wound drainage [79]. In the future, randomized controlled trials (RCTs) are needed to determine whether the IFP should be retained or resected during the TKA procedure.…”

Section: Discussionmentioning

confidence: 99%

Infrapatellar Fat Pad and Knee Osteoarthritis

et al. 2020

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Osteoarthritis is the most prevalent arthritis typically characterized by degradation of cartilage. However, its pathogenesis is not fully understood. Currently, osteoarthritis is best considered a disease of the whole "joint organ". Infrapatellar fat pad (IFP), an adipose tissue near synovium, is now attaching importance to researchers for its inflammatory phenotype. In this narrative review, a large body of evidence has been gathered for the involvement of IFP in the development of knee osteoarthritis. Additionally, the underlying mechanisms of how IFP can be involved in this process have been proposed. However, further investigations are needed to better understand its precise role in this process and its underlying mechanism, and beyond that, to develop new strategies to slow down the degenerative process and explore an effective and timely diagnosis of the disease.

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Section: Discussionmentioning

confidence: 99%

Infrapatellar Fat Pad and Knee Osteoarthritis

et al. 2020

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“…The fad pad that some are preserving to increase post-operative flexion [ 67 ] and avoid post-operative patella baja may reduce visibility on the lateral femoral condyle and tibial plateau. However, new instrumentations have been designed to offset the lack of access [ 36 ].…”

Section: Potential Limitations Of Mismentioning

confidence: 99%

Minimally invasive total knee replacement: techniques and results

Picard

Deakin

Balasubramanian

et al. 2018

Eur J Orthop Surg Traumatol

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In this review, we outlined the definition of minimally invasive surgery (MIS) in total knee replacement (TKR) and described the different surgical approaches reported in the literature. Afterwards, we went through the most recent studies assessing MIS TKR. Next, we searched for potential limitations of MIS knee replacement and tried to answer the following questions: Are there selective criteria and specific patient selection for MIS knee surgery? If there are, then what are they? After all, a discussion and conclusion completed this article. There is certainly room for MIS or at least less invasive surgery for appropriate selected patients. Nonetheless, there are differences between approaches. Mini-medial parapatellar is easy to master, quick to perform and potentially extendable, whereas mini-subvastus and mini-midvastus are trickier and require more caution related to risk of haematoma and vastus medialis oblique (VMO) nerve damage. Current evidence on the safety and efficacy of mini-incision surgery for TKR does not appear fully adequate for the procedure to be used without special arrangements for consent and for audit or continuing research. There is an argument that a sudden jump from standard TKR to MIS TKR, especially without computer assistance such as navigation, patient-specific instrumentation or robotic, may breach a surgeon’s duty of care towards patients because it exposes patients to unnecessary risks. As a final point, more evidence is required on the long-term safety and efficacy of this procedure which will give objective shed light on real benefits of MIS TKR.

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“…We thank White and Melhuish1 for their interest in our original paper2 and our response3 to Bai et al 4…”

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confidence: 93%