Does infrapatellar fat pad resection in total knee arthroplasty impair clinical outcome? A systematic review

Beeck, Annelies Van; Clockaerts, S.; Somville, Johan; Heeswijk, J.H.W. Van; Glabbeek, Francis Van; Bos, P.K.; Reijman, Max

doi:10.1016/j.knee.2013.01.005

Cited by 53 publications

(76 citation statements)

References 22 publications

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“…The recent systematic review of the effect of infrapatellar excision in TKA [21] found no difference in anterior knee pain, ROM, or function in the patient with osteoarthritis but decreasing function in the patient with rheumatoid arthritis. Measuring anterior knee pain in our study has two confounding factors, which may interfere with interpretation.…”

Section: Discussionmentioning

confidence: 99%

“…3 In the no infrapatellar fat pad excision group, the entire infrapatellar fat pad was preserved through the operation. a randomized controlled trial [21]. We therefore sought to determine the effect of infrapatellar fat pad excision on (1) patellar tendon shortening (as measured by patella baja); (2) anterior knee pain; (3) total Knee Society Score and functional subscore; and (4) patella-related complications.…”

Section: Discussionmentioning

confidence: 99%

“…Because of these issues, the choice of whether to remove the infrapatellar fat pad during TKA remains controversial, and practice patterns vary widely [19]. One recent systematic review found mixed results on the topic of pain, patella baja, and function, indicated that the literature was quite limited, and called for a randomized controlled trial [21].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

Pinsornsak

Naratrikun

Chumchuen

2013

Clin Orthop Relat Res

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Background The infrapatellar fat pad is one of the structures that obscures exposure in minimally invasive total knee arthroplasty (MIS TKA). Most MIS TKA surgeons (and many surgeons who use other approaches as well) excise the fat pad for better exposure of the knee. There is still controversy about the result of fat pad excision on patella baja, pain, and function. Questions/purposes In the setting of a randomized controlled trial, we sought to determine whether infrapatellar fat pad excision during MIS TKA causes (1) patellar tendon shortening (as measured by patella baja); (2) increased anterior knee pain; (3) decreases in the Knee Society Score or functional subscore; or (4) more patella-related complications.Methods We randomized 90 patients undergoing MIS TKA at one institution into two groups. In one group, 45 patients underwent MIS TKA with complete infrapatellar fat pad excision and in the other group, 45 patients received MIS TKA without infrapatellar fat pad excision. The patella was selectively resurfaced in these patients; there was no difference between the groups in terms of the percentage of patients whose patellae were resurfaced. We measured patellar tendon shortening, knee flexion, anterior knee pain, Knee Society Score (KSS), functional subscore, and patellar complications at preoperative and postoperative periods of 6 weeks, 3 months, 6 months, and 1 year; complete followup data were available on 86% of patients (77 of 90) who were enrolled.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

Pinsornsak

Naratrikun

Chumchuen

2013

Clin Orthop Relat Res

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“…Since the Van Beeck et al study 3 in 2013, there have been a number of studies reporting on the beneficial effects of IPFP preservation.…”

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confidence: 99%

The role of infrapatellar fat pad resection in total knee arthroplasty

White

Melhuish

2016

Ann Rheum Dis

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“…Therefore, we should consider all avenues that improve our techniques. In our recent systematic literature review aimed to investigate whether the infrapatellar fat pad should be resected or preserved during TKA [8], we included two randomized controlled trials and three observational studies. We showed, based on two available randomized controlled trials so far, that infrapatellar fat pad resection during TKA offers favorable results in patients with osteoarthritis (less anterior knee pain), whereas results are worse in patients with rheumatoid arthritis (more anterior knee pain).…”

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confidence: 99%

CORR Insights®: The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

Bos

2013

Clin Orthop Relat Res

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Does infrapatellar fat pad resection in total knee arthroplasty impair clinical outcome? A systematic review

Cited by 53 publications

References 22 publications

The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

The role of infrapatellar fat pad resection in total knee arthroplasty

CORR Insights®: The Effect of Infrapatellar Fat Pad Excision on Complications After Minimally Invasive TKA: A Randomized Controlled Trial

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