Is routine patellar resurfacing in total knee arthroplasty necessary?
نویسنده
چکیده
• Correspondence: O. Şahap Atik, M.D. Gazi Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 06500 Beşevler, Ankara, Turkey. Tel: +90 312 202 55 28 Fax: +90 312 212 90 08 e-mail: [email protected] We avoid routine patellar resurfacing during knee replacement because of the risk of major complications that include patellar fracture, avascular necrosis, patellar tendon injury and instability.[1,2] Advocates for routine patellar resurfacing declare increased incidence of anterior knee pain in patients with non-resurfaced patellae.[3,4]
منابع مشابه
Comparison between Patellar Resurfacing and Retention in Total Knee Arthroplasty Regarding the Postoperative Satisfaction of Patients and Patellar Crepitus
Background: Patellar crepitus after total knee arthroplasty (TKA) is not uncommon. The choice between patellarresurfacing or retention in TKA has remained controversial. Therefore, this randomized controlled trial aimed to evaluatethe impact of patellar resurfacing on the incidence of patellar crepitus. In addition, we compared the clinical outcomesand satisfaction between the...
متن کاملComparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation
Background: There is no difference in the functional outcomes 6 months after total knee arthroplasty (TKA) for kneeosteoarthritis between patellar resurfacing and non-resurfacing. Thus, we have performed this study to compare theshort-term clinical outcomes of TKA performed with and without the patella resurfacing.Methods: A total of 50 patients with osteoarthritis of the knee (OAK) were random...
متن کاملThe management of the patella in total knee arthroplasty.
Total knee arthroplasty (TKA) is a well-established procedure, and has proven to be durable and effective for the treatment of advanced arthritis of the knee joint. Early TKAs did not include patellar replacement and anterior knee pain was reported after the procedure had been carried out. The incorporation of patellar resurfacing during TKA reduces anterior knee pain, although new complication...
متن کاملSimilar patient-reported outcomes and performance after total knee arthroplasty with or without patellar resurfacing
Background and purpose - Knee pain after total knee arthroplasty (TKA) is not uncommon. Patellar retention in TKA is one cause of postoperative knee pain, and may lead to secondary addition of a patellar component. Patellar resurfacing in TKA is controversial. Its use ranges from 2% to 90% worldwide. In this randomized study, we compared the outcome after patellar resurfacing and after no resur...
متن کاملSelective patellar resurfacing in total knee arthroplasty: a prospective, randomized, double-blind study.
350 knees were evaluated in a prospective, randomized, double-blinded study of selective patellar resurfacing in primary total knee arthroplasty. Knees with exposed bone on the patellar articular surface were excluded. 327 knees were evaluated at a mean follow-up of 7.8years. 114 knees followed for greater than 10 years were analyzed separately. Satisfaction was higher in patients with a resurf...
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ورودعنوان ژورنال:
- Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery
دوره 21 2 شماره
صفحات -
تاریخ انتشار 2010