Patellar reshaping versus resurfacing in total knee arthroplasty — Results of a randomized prospective trial at a minimum of 7years' follow-up

Liu, Zhongtang; Fu, Peiliang; Wu, Haishan; Zhu, Yi

doi:10.1016/j.knee.2011.03.004

Cited by 53 publications

(86 citation statements)

References 23 publications

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“…Brosseau et al [28] Meta-analysis of studies examining the effectiveness of CPM Significant improvement in active knee flexion and analgesic use 2 wk postoperatively with the use of CPM and PT compared with PT alone of 7 years, the authors did not find a difference between the 2 methods regarding pain, radiographic findings, and functional knee scores, but recommended patellar reshaping, because it retained sufficient patellar bone stock and could easily be converted to patellar replacement in the case of recurrent anterior knee pain [46] . In 2013, the randomized controlled trial by Pulavarti et al [47] shed more light on the subject of patellar denervation without resurfacing: the method appeared safe, and improved patient satisfaction and range of knee flexion but did not ameliorate validated knee scores in a followup of 2 years [45] .…”

Section: No Differences Among Studied Groupsmentioning

confidence: 98%

“…Another alternative solution was presented by Liu et al [46] in a prospective randomized trial in the same year, compared patellar resurfacing with patellar reshaping, i.e., removing the partial lateral aspect of the patella and the surrounding osteophytes and trimming the patella to match the trochlea of the femoral component. In a minimum follow-up…”

Section: No Differences Among Studied Groupsmentioning

confidence: 99%

“…Liu et al [46] Randomized prospective trial. Patellar reshaping vs resurfacing in TKR No significant differences between the 2 groups in terms of total Knee Society score, Knee Society pain score, Knee Society function score and anterior knee pain rate Fu et al [24] Meta-analysis of randomized controlled trials.…”

Section: Ref Type Of Study Outcomementioning

confidence: 99%

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Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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Total knee replacement (TKR) is a widely used operation that has radically improved the quality of life of millions of people during the last few decades. However, some technical details, concerning the surgical procedure and the rehabilitation following total knee arthroplasty, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, in an effort to shed light on some of the most controversial subjects related to TKR surgery. Posterior-stabilized or cruciate-retaining prosthesis? To use a tourniquet during operation or not? Do patients need continuous passive motion for their post-surgery rehabilitation? To resurface patella or not? These are some of the most controversial topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and more well conducted high quality trials are needed in order to gain more secure answers. At the same time, it is becoming apparent that a meticulous operative technique, respecting the soft tissue envelope and knowing the principles of alignment and soft tissue balancing, are some of the parameters that might contribute more to achieving the optimal results for the patients. Key words: Total knee replacement; Controversy; Literature review; Patella resurfacing; Patella eversion; Posterior stabilized; Cruciate retaining; Tourniquet; Continuous passive motion Core tip: A literature review has been conducted in an effort to present the best available evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery. Patella resurfacing or not? Posterior cruciate retaining or sacrificing? Continuous passive motion or not? Tourniquet or not? These are some of the most debatable topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.Nikolaou VS, Chytas D, Babis GC. Common controversies in total knee replacement surgery: Current evidence. World J Orthop 2014; 5(4

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Section: No Differences Among Studied Groupsmentioning

confidence: 98%

Section: No Differences Among Studied Groupsmentioning

confidence: 99%

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Common controversies in total knee replacement surgery: Current evidence

Nikolaou¹

2014

WJO

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“…They found no significant difference between the groups with regard to the Knee Society Scores, presence of anterior knee pain rate and radiographic differences. [35] The present study had several strengths. The most notable being that the patient essentially acted as their own control, having one patella resurfaced and the other being left unresurfaced, which eliminated the possibility of cohort selection bias.…”

Section: Discussionmentioning

confidence: 90%

Native Patella Retention Versus Resurfacing in a Cohort of Staged Bilateral Total Knee Patients

Head

Nelson²,

Dyball³

et al. 2017

ReconRev

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Background: Patellar resurfacing in total knee arthroplasty remains a point of controversy within the literature and the generally followed paradigm varies among regions.Methods: In effort to elucidate a difference following the change from universal patellar resurfacing to universal non-resurfacing, 32 patients with bilateral TKA that included one resurfaced and one native patella were retrospectively reviewed at average follow up 21.4 months from the most recent surgery.Results: No difference was observed in patient satisfaction, KOOS-ADL score, and VAS scores. No complications or secondary patellar resurfacing occurred.Conclusions: Therefore, patients perceive no difference between knees with native patella retention or a resurfaced patella in regards to pain and function.

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“…По данным Z.T. Liu с соавторами, боль в перед-нем отделе после эндопротезирования отмеча-ется почти у одинакового количества пациентов как при замещении (14,7%), так и сохранении (12,5%) надколенника [33].…”

Section: результаты артропластикиunclassified

Modern Trends in Orthopedics: The Knee Arthroplasty

Тихилов

Корнилов

Куляба

et al. 2012

Traumatology and Orthopedics of Russia

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Using PubMed the authors analyzed publications dedicated to knee arthroplasty that were published in 2011. The modern trends of knee joint replacement include improvement of implants and instruments; partial knee replacement as alternative to TKA; reducing of surgical trauma due to less-invasive approaches; achieving of deep flexion after TKA; using of computer navigation and individual cutting blocks to make surgery more precise; optimization of rehabilitation process in pre-, intra-and postoperative period; including multimodal pain control; development of complex strategies for prevention of intra- and postoperative complications. In this review the attention was attracted to the most discussed in 2011 subjects: development of new designs and materials of knee implants; navigation, robotics and individualized resection blocks; partial knee replacement; infection, blood loss and venous thromboembolism after TKA; influence of different factors on arthroplasty outcomes, especially components and leg alignment, patella resurfacing, PCL retention or substitution, uncemented fixation, mobility of PE insert, severe pre-op deformities or stiffness, previous intra-articular fractures and tibia or femur osteotomies, soft tissue deficit etc.

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Patellar reshaping versus resurfacing in total knee arthroplasty — Results of a randomized prospective trial at a minimum of 7years' follow-up

Cited by 53 publications

References 23 publications

Common controversies in total knee replacement surgery: Current evidence

Common controversies in total knee replacement surgery: Current evidence

Native Patella Retention Versus Resurfacing in a Cohort of Staged Bilateral Total Knee Patients

Modern Trends in Orthopedics: The Knee Arthroplasty

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