A prospective randomised controlled study in patients undergoing patelloplasty in total knee replacement with coagulation diathermy and without coagulation diathermy

Rudraraju, Raviteja; Nippuleti, Anoop; Baig, Mirza Shahrukh; Dasari, Srivanth

doi:10.22271/ortho.2018.v4.i2d.32

Cited by 1 publication

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We assumed that the effect of better pain relief during the early period might lead to better patients’ satisfaction. A RCT by Pulavarti et al 25 found significantly higher satisfaction in PD group compared to NPD group and Rudraraju et al 41 also recorded better satisfaction in diathermy group in subjects who had patelloplasty with knee arthroplasty in their RCT. The non-significant results in KSSF and PS in this study seemed to confirm the effect of denervation is solely for pain management.…”

Section: Discussionmentioning

confidence: 96%

What can we expect from patellar denervation in knee arthroplasty? An updated systematic review and meta-analysis

Dusak

Ciatawi

Subawa

et al. 2023

Journal of Orthopaedics, Trauma and Rehabilitation

View full text Add to dashboard Cite

Denervation by electrocauterization was proposed to be efficient in preventing anterior knee pain (AKP) following arthroplasty. The purpose of this study was to evaluate the effects of patellar denervation (PD) in primary knee arthroplasty. Systematic search was performed in PubMed, ScienceDirect, Cochrane Library, and ClinicalKey databases until July 2022 for published articles. The quantitative analyses were carried out by Review Manager 5.4 software. Twenty-one studies were included. Overall incidence of AKP, visual analog scale (VAS), and knee society score were significantly superior in PD group. Denervation also showed better outcomes in incidence of AKP at each follow-up time point, and in VAS and range of motion (ROM) at ≤3 months. Subanalyses based on depth of electrocautery showed statistically better results with 2–3 mm depth in VAS and PS compared to ≤1 mm. This study concluded that PD might contribute to lower incidence of knee pain. Patients who expect quicker recovery in pain and ROM may benefit from this procedure.

show abstract

Section: Discussionmentioning

confidence: 96%