A Meta-analysis of Patellar Replacement in Total Knee Arthroplasty

Nizard, RS; Biau, David; Porcher, Raphaël; Ravaud, Philippe; Bizot, Pascal; Hannouche, D; Sedel, L.

doi:10.1097/01.blo.0000150348.17123.7f

Cited by 137 publications

(108 citation statements)

References 36 publications

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“…We observed a significant improvement of the KSS and the functional score, although a subgroup of patients reported unsatisfactory results. These findings are in line with the currently available literature [1,9,13,18,19,22].…”

Section: Discussionsupporting

confidence: 92%

Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty

Daniilidis

Vogt

Gosheger

et al. 2012

International Orthopaedics (SICOT)

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Purpose Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage procedure. Methods The study included 22 patients (13 female/nine male) who underwent resurfacing of the patella with a mean follow-up of 61.8±39.2 months. The mean age of the patients was 60±9.7 years at the time of operation. The average period between total knee arthroplasty and patellar resurfacing was 26.3±15.2 months. The patient's subjective satisfaction was assessed by a custom-made questionnaire.

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Section: Discussionsupporting

confidence: 92%

Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty

Daniilidis

Vogt

Gosheger

et al. 2012

International Orthopaedics (SICOT)

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“…Controversy still exists regarding the efficacy of patellar resurfacing in primary TKA [14][15][16][17]. While many authors have addressed the issue of patellar revision in aseptic TKA [12,[18][19][20], this study is the first to our knowledge to specifically address management of the patella in two-stage revision for infected TKA.…”

Section: Discussionmentioning

confidence: 94%

The Impact of Patellar Resurfacing in Two-Stage Revision of the Infected Total Knee Arthroplasty

Glynn

Huang

Mortazavi

et al. 2014

The Journal of Arthroplasty

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“…Foremost, multiple level 1 randomized trials and well-done meta-analyses have shown a significantly lower rate of secondary resurfacing and reoperation [7,[9][10][11][12]13•, 14•]. Second, although most level 1 randomized trials and subsequent meta-analyses have not shown a statistically significant difference in anterior knee pain, almost all have shown less anterior knee pain in the resurfaced group [7, 9-12, 13•, 14•].…”

Section: International Perspectivementioning

confidence: 99%

“…Nizard et al performed a meta-analysis of patellar resurfacing in 1490 knee arthroplasties from 12 different prospective, randomized trials [9]. They found a 0.43 increased risk for reoperation with unresurfaced patellae (6.5 % vs 2.3 %, respectively).…”

Section: Clinical Outcomesmentioning

confidence: 99%

The patella in total knee arthroplasty: to resurface or not is the question

Abdel

Parratte

Budhiparama³

2014

Curr Rev Musculoskelet Med

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The decision to resurface the patella during total knee arthroplasty remains controversial. Even though some surgeons routinely resurface the patella to avoid the increased rates of postoperative anterior knee pain and reoperation for secondary resurfacing, others selectively resurface based on the presence of anterior knee pain, notably damaged articular cartilage, inflammatory arthritis, isolated patellofemoral arthritis, and patellar subluxation and maltracking. The anatomy and biomechanics of the patellofemoral joint, combined with advances in surgical technique and prostheses must be taken into account when making a decision to resurface the patella. Accurate component implantation is imperative for a successful outcome if the patella is resurfaced.

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A Meta-analysis of Patellar Replacement in Total Knee Arthroplasty

Cited by 137 publications

References 36 publications

Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty

Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty

The Impact of Patellar Resurfacing in Two-Stage Revision of the Infected Total Knee Arthroplasty

The patella in total knee arthroplasty: to resurface or not is the question

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