Patellar resurfacing in total knee arthroplasty leads to better isokinetic performance

2022 ◽  
Author(s):  
Deniz Cankaya ◽  
Fatih Inci ◽  
Ahmet Burak Bilekli ◽  
Dilek Karakus ◽  
Yakup Kahve ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patellar Resurfacing ◽  
Total Knee ◽  
Isokinetic Performance

scholarly journals FRI0418 SELECTIVE PATELLAR RESURFACING IN TOTAL KNEE ARTHROPLASTY FOR THE OSTEOARTHRITIC KNEE: A PROSPECTIVE STUDY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 807.3-807
Author(s):  
I. Moriyama
Keyword(s):  
Total Knee Arthroplasty ◽  
Clinical Outcome ◽  
Knee Arthroplasty ◽  
Patellofemoral Joint ◽  
Osteoarthritis Of The Knee ◽  
Patellar Resurfacing ◽  
Criterion A ◽  
Total Knee ◽  
The Mean

Background:No widely accepted view or criteria currently exist concerning whether or not patellar replacement (resurfacing) should accompany total knee arthroplasty for osteoarthritis of the knee.1)2)3)Objectives:We recently devised our own criteria for application of patellar replacement and performed selective patellar replacement in accordance with this set of criteria. The clinical outcome was analyzed.Methods:The study involved 1150 knees on which total knee arthroplasty was performed between 2005 and 2019 because of osteoarthritis of the knee. The mean age at operation was 73, and the mean postoperative follow-up period was 91 months. Our criteria for application of patellar replacement are given below. Criterion A pertains to evaluation of preoperative clinical symptoms related to the patellofemoral joint: (a) interview regarding presence/absence of pain around the patella, (b) cracking or pain heard or felt when standing up from a low chair, (c) pain when going upstairs/downstairs. Because it is difficult for individual patients to identify the origin of pain (patellofemoral joint or femorotibial joint), the examiner advised each patient about the location of the patellofemoral joint when checking for these symptoms. Criterion B pertains to intense narrowing or disappearance of the patellofemoral joint space on preoperative X-ray of the knee. Criterion C pertains to the intraoperatively assessed extent of patellar cartilage degeneration corresponding to class 4 of the Outerbridge classification. Patellar replacement was applied to cases satisfying at least one of these sets of criteria (A-a,-b,-c, B and C). Postoperatively, pain of the patellofemoral joint was evaluated again at the time of the last observation, using Criterion A-a,-b,-c.Results:Patellar replacement was applied to 110 knees in accordance with the criteria mentioned above. There were 82 knees satisfying at least one of the Criterion sets A-a,-b,-c, 39 knees satisfying Criterion B and 70 knees satisfying Criterion C. (Some knees satisfied 2 or 3 of Criteria A, B and C).When the pain originating from patellofemoral joint (Criterion A) was clinically assessed at the time of last observation, pain was not seen in any knee of the replacement group and the non-replacement group.Conclusion:Whether or not patellar replacement is needed should be determined on the basis of the symptoms or findings related to the patellofemoral joint, and we see no necessity of patellar replacement in cases free of such symptoms/findings. When surgery was performed in accordance with the criteria on patellar replacement as devised by us, the clinical outcome of the operated patellofemoral joint was favorable, although the follow-up period was not long. Although further follow-up is needed, the results obtained indicate that selective patellar replacement yields favorable outcome if applied to cases judged indicated with appropriate criteria.References:[1]The Effect of Surgeon Preference for Selective Patellar Resurfacing on Revision Risk in Total Knee Replacement: An Instrumental Variable Analysis of 136,116 Procedures from the Australian Orthopaedic Association National Joint Replacement Registry.Vertullo CJ, Graves SE, Cuthbert AR, Lewis PL J Bone Joint Surg Am. 2019 Jul 17;101(14):1261-1270[2]Resurfaced versus Non-Resurfaced Patella in Total Knee Arthroplasty.Allen W1, Eichinger J, Friedman R. Indian J Orthop. 2018 Jul-Aug;52(4):393-398.[3]Is Selectively Not Resurfacing the Patella an Acceptable Practice in Primary Total Knee Arthroplasty?Maradit-Kremers H, Haque OJ, Kremers WK, Berry DJ, Lewallen DG, Trousdale RT, Sierra RJ. J Arthroplasty. 2017 Apr;32(4):1143-1147.Disclosure of Interests:None declared

scholarly journals A Dutch Survey on Circumpatellar Electrocautery in Total Knee Arthroplasty

2010 ◽  
Vol 4 (1) ◽  
pp. 201-203 ◽  
Author(s):  
Hans-Peter W. van Jonbergen ◽  
Alexander F.W. Barnaart ◽  
Cees C.P.M. Verheyen
Keyword(s):  
Total Knee Arthroplasty ◽  
The Netherlands ◽  
Knee Pain ◽  
Knee Arthroplasty ◽  
Anterior Knee Pain ◽  
Patellar Resurfacing ◽  
Orthopedic Surgeons ◽  
Unicompartmental Knee Arthroplasties ◽  
Total Knee ◽  
Anterior Knee

Introduction: Anterior knee pain following total knee arthroplasty is estimated to occur in 4-49% of patients. Some orthopedic surgeons use circumpatellar electrocautery (diathermy) to reduce the prevalence of postsurgical anterior knee pain; however, the extent of its use is unknown. Materials and Methodology: In April 2009, a postal questionnaire was sent to all 98 departments of orthopedic surgery in The Netherlands. The questions focused on the frequency of total knee arthroplasties, patellar resurfacing, and the use of circumpatellar electrocautery. Results: The response rate was 92%. A total of 18,876 TKAs, 2,096 unicompartmental knee arthroplasties, and 215 patellofemoral arthroplasties are performed yearly in The Netherlands by the responding orthopedic surgeons. Of the orthopedic surgeons performing TKA, 13% always use patellar resurfacing in total knee arthroplasty for osteoarthritis, 49% use selective patellar resurfacing, and 38% never use it. Fifty-six percent of orthopedic surgeons use circumpatellar electrocautery when not resurfacing the patella, and 32% use electrocautery when resurfacing the patella. Conclusion: There is no consensus among Dutch orthopedic surgeons on the use of patellar resurfacing or circumpatellar electrocautery in total knee replacement performed for osteoarthritis. A prospective clinical trial is currently underway to fully evaluate the effect of circumpatellar electrocautery on the prevalence of anterior knee pain following total knee arthroplasty.

Patellar Resurfacing in Total Knee Arthroplasty

2021 ◽  
pp. 243-248
Author(s):  
Michael G. Zywiel ◽  
Rajiv Gandhi ◽  
Nizar N. Mahomed
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patellar Resurfacing ◽  
Total Knee

Patellar Resurfacing in Total Knee Arthroplasty

2001 ◽  
Vol 83 (9) ◽  
pp. 1376-1381 ◽  
Author(s):  
Robert L. Barrack ◽  
Alexander J. Bertot ◽  
Michael W. Wolfe ◽  
Douglas A. Waldman ◽  
Matko Milicic ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patellar Resurfacing ◽  
Total Knee

Patellar Resurfacing in Total Knee Arthroplasty

2002 ◽  
Vol 84 (2) ◽  
pp. 187-193 ◽  
Author(s):  
David J. Wood ◽  
Anne J. Smith ◽  
Dermot Collopy ◽  
Bruce White ◽  
Boris Brankov ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patellar Resurfacing ◽  
Total Knee

Does navigated patellar resurfacing in total knee arthroplasty result in proper bone cut, motion and clinical outcomes?

2019 ◽  
Vol 69 ◽  
pp. 168-177
Author(s):  
Claudio Belvedere ◽  
Andrea Ensini ◽  
Silvia Tamarri ◽  
Michele d'Amato ◽  
Paolo Barbadoro ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Patellar Resurfacing ◽  
Total Knee

Selective Patellar Resurfacing in Total Knee Arthroplasty: A Prospective, Randomized, Double-Blind Study

2015 ◽  
Vol 30 (2) ◽  
pp. 216-222 ◽  
Author(s):  
Donald W. Roberts ◽  
T. David Hayes ◽  
Christine T. Tate ◽  
James P. Lesko
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Blind Study ◽  
Double Blind Study ◽  
Patellar Resurfacing ◽  
Double Blind ◽  
Total Knee

Patellar Resurfacing in Total Knee Arthroplasty: A Cost-Effectiveness Analysis

2018 ◽  
Vol 33 (11) ◽  
pp. 3412-3415 ◽  
Author(s):  
Colleen A. Weeks ◽  
Jacquelyn D. Marsh ◽  
Steven J. MacDonald ◽  
Stephen Graves ◽  
Edward M. Vasarhelyi
Keyword(s):  
Total Knee Arthroplasty ◽  
Cost Effectiveness ◽  
Knee Arthroplasty ◽  
Cost Effectiveness Analysis ◽  
Patellar Resurfacing ◽  
Effectiveness Analysis ◽  
Total Knee
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