Comparison of patellar retention versus resurfacing in LCS mobile-bearing total knee arthroplasty

Hwang, Bo-Hyun; Yang, Ick Hwan; Han, Chang-Dong

doi:10.1007/s00167-011-1593-y

Cited by 30 publications

(22 citation statements)

References 47 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…And the latest study of Pavlou et al [29] provided further findings that neither patellar resurfacing nor the prosthetic design affects the clinical results of TKAs. Studies of LCS mobile-bearing total knee arthroplasty [30,31] showed the importance of soft tissue, especially the ligaments, in the decision for patellar resurfacing or not. Hwang et al [31] concluded that if soft tissue balancing and a patella-friendly prosthetic design are properly used, patellar retention with a patelloplasty might be viable, even in knees with serious patellofemoral arthritis.…”

Section: Discussionmentioning

confidence: 99%

“…Studies of LCS mobile-bearing total knee arthroplasty [30,31] showed the importance of soft tissue, especially the ligaments, in the decision for patellar resurfacing or not. Hwang et al [31] concluded that if soft tissue balancing and a patella-friendly prosthetic design are properly used, patellar retention with a patelloplasty might be viable, even in knees with serious patellofemoral arthritis. Since there have been no final conclusions about resurfacing of patella or not during TKA, more studies are needed to be conducted in the future.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patellar resurfacing versus nonresurfacing in total knee arthroplasty: A meta-analysis of randomised controlled trials

Chen

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Patella resurfacing or nonresurfacing in total knee arthroplasty remains controversial. The aim of this study was to evaluate the efficacy of patellar resurfacing through an evaluation of the current literature. Methods We carried out a meta-analysis of randomised controlled trials comparing total knee arthroplasties performed with and without patellar resurfacing. Outcomes of reoperation, anterior knee pain and knee scores were analysed. Results Fourteen trials assessing 1,725 knees were eligible. The absolute risk of reoperation was reduced by 4 % (95 % confidence interval, 2-6 %) in the patellar resurfacing arm (between-study heterogeneity, P=0.05, I 2 =42 %), implying that one would have to resurface 25 patellae (95 % confidence interval, 17-50 patellae) in order to prevent one reoperation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patellar resurfacing versus nonresurfacing in total knee arthroplasty: A meta-analysis of randomised controlled trials

Chen

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…In case the patella remains un-resurfaced, the proper selection of prosthetic design, using a patella-friendly femoral component has proven to be extremely important [34][35][36][37][38][39][40]. The supporters of the non-resurfacing strategy prefer to attempt to provide a a better accommodation with the native patella femoral components, using an anatomically shaped trochlear configuration.…”

Section: Discussionmentioning

confidence: 99%

Knee Arthroplasty: With or Without Patellar Component?

Solyom¹,

Ildikó

Csaba

et al. 2015

Acta Medica Marisiensis

View full text Add to dashboard Cite

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.

show abstract

“…In the 10-year follow-up data of 600 unresurfaced TKAs using a "patella-friendly" design, O'Brien et al [61] found significant anterior knee pain in only 1.5 % of cases requiring secondary resurfacing and concluded that when using a patella friendly design, leaving the patellae unresurfaced does not adversely affect the outcome. In a more recent study, Hwang et al [62] compared the 7-year results of 2 groups of patients receiving patella-friendly designs. The authors were unable to detect any significant differences in anterior knee pain or revision rates between unresurfaced and resurfaced knees.…”

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

View full text Add to dashboard Cite

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.

show abstract

Comparison of patellar retention versus resurfacing in LCS mobile-bearing total knee arthroplasty

Abstract: Therapeutic, retrospective, comparative study, Level III.

Cited by 30 publications

References 47 publications

Patellar resurfacing versus nonresurfacing in total knee arthroplasty: A meta-analysis of randomised controlled trials

Patellar resurfacing versus nonresurfacing in total knee arthroplasty: A meta-analysis of randomised controlled trials

Knee Arthroplasty: With or Without Patellar Component?

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

Contact Info

Product

Resources

About