Outcomes of Patellar Replacement Vs Patellar Neurectomy in Total Knee Replacement

Objectives: To compare the outcomes of patellar replacement and neurectomy in Patients undergoing Total Knee Replacement . Materials & Methods: The design this study was a cross sectional conducted DHQ Teaching Hospital Gujranwala. 30 were enrolled they divided into two groups. Group A constitutes 15 underwent Post tibial neurectomy. And B consisting went through Tibial Resection. All patients have been assessed Tinel test on painful area self-administered Patient-Reported Outcome Measurements (PROMs): Patellar also known as patellofemoral arthroplasty, is surgical procedure that performed conjunction with total knee (TKR) to relieve pain joint caused by arthritis or other conditions affecting patella. given anesthesia numb area. An incision made front expose patella surrounding structures. Removal patella: carefully removed from joint. underside reshaped fit prosthetic component implanted its place. attached surface using bone cement. repositioned femur sutures. closed sutures staples. goal reduce improve function group participants involves cutting removing nerve endings supply sensation Results: participated study. In =15 who Neurectomy experienced Tibia 5 months follow up done. showed excellent Results. NRS score decreased 0 B. While still moderate pain, Remaining 13 although did not but felt numbness limbs. Practical Implication: patella, interrupting transmission signals brain. Although it less time consuming can cause altered skin over which may affect patient's quality life Does address underlying instability misalignment, functional limitations Can be associated risk complications such neuroma, infection, stiffness. Conclusion: Resection TKA has better than Neurectomy. denervation electrocautery effective reducing opioid consumption after replacement. Postoperative range motion significantly group, means improves clinical outcome Keywords: Replacement, Neurectomy, Resection, Pain, Prosthesis