Secondary patellar resurfacing in total knee arthroplasty

Karnezis, I A; Vossinakis, I. C.; Rex, Colleen; Fragkiadakis, Emmanuel G; Newman, John H.

doi:10.1016/s0883-5403(03)00286-9

Cited by 42 publications

(5 citation statements)

References 28 publications

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“…Karnezis et al [20] reported that patients who waited longer after their primary TKA before undergoing SPR might show worse functional outcomes, and therefore, if it is decided to perform the procedure, this should be done as early as possible. In their series, the mean time between the primary TKA and SPR (resurfacing delay) was 47 months, compared to 21.2 months in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies have compared the outcomes of TKA with or without patellar resurfacing, and yet little research has been done into secondary patellar resurfacing (SPR). Those results which have been published show that patient satisfaction rates have exceeded 50% in most studies [20, 21, 23, 24, 27, 29]. Our starting hypothesis is that SPR could be a valid solution to anterior knee pain following TKA.…”

Section: Introductionmentioning

confidence: 96%

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Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Muñoz-Mahamud

Popescu

Núñez³

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Muñoz-Mahamud

Popescu

Núñez³

et al. 2011

Knee Surg Sports Traumatol Arthrosc

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“…Usually performed in patients with anterior knee pain, where the patella was unresurfaced in the index procedure, improvements are expected in less than 60% of patients [3, 6-8]. The reasons for this are unproven for now, with a number of studies presenting conflicting information [9-12]. …”

Section: Introductionmentioning

confidence: 99%

Secondary Patellar Resurfacing after Primary Bicondylar Knee Arthroplasty did Not Meet Patients’ Expectations

Correia¹,

Sieder²,

Kendoff³

et al. 2012

TOORTHJ

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Secondary patella resurfacing is a controversial procedure which is applied in patients with anterior knee pain after a bicondylar knee arthroplasty (with unresurfaced patella). A group of 46 patients were submitted to this procedure and their satisfaction, range of motion and pain improvement was evaluated. 52.2% of the patients were satisfied with the procedure, with an improvement in pain (Visual Analogue Scale) of 65% and an improvement in range of motion in 56,5%, with roundabout half of the patients having no resolution to their complaints. Whilst an improvement was not achieved in all patients, as it was initially hypothesised, this procedure should be considered when a revision knee arthroplasty is performed with an unresurfaced patella.

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“…The lack of clear improvement in patients undergoing secondary resurfacing is compelling and should be factored into the cost analysis of patellar resurfacing. If secondary resurfacing is indeed pursued for AKP, the evidence supports better outcomes with earlier versus delayed revision 95 .…”

Section: Secondary Patellar Resurfacingmentioning

confidence: 99%

Management of the Patella During Total Knee Arthroplasty

et al. 2021

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The optimal management of the patella during total knee arthroplasty (TKA) remains a controversial topic with no consensus.Patellar management techniques during TKA include patellar retention or resurfacing with or without patellaplasty, as well as circumferential denervation and partial lateral facetectomy (PLF).Special considerations such as patient age, etiology of disease, implant design, and surgeon preference should be accounted for when determining optimal management.We recommend that most patellae be circumferentially denervated, regardless of whether they are resurfaced, as the potential benefits outweigh the small associated risks.Evidence demonstrates improved functional outcomes with the addition of PLF to nonresurfaced patellae. There is currently a paucity of evidence of this technique with respect to resurfaced patellae.Patellar resurfacing adds additional costs and health-care resources that should be considered in the decision-making process.

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Secondary patellar resurfacing in total knee arthroplasty

Cited by 42 publications

References 28 publications

Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Secondary patellar resurfacing in the treatment of patellofemoral pain after total knee arthroplasty

Secondary Patellar Resurfacing after Primary Bicondylar Knee Arthroplasty did Not Meet Patients’ Expectations

Management of the Patella During Total Knee Arthroplasty

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