Replace the Patella in Total Knee Arthroplasty or Not. Always, Never or Selectively: What to do?

1
Dr. Daniel Paccot
Dr. Daniel Paccot
2
Dr. Rafael Calvo
Dr. Rafael Calvo
3
Dr. David Figueroa
Dr. David Figueroa
4
Dr. Sergio Arellano
Dr. Sergio Arellano
1 Universidad del desarollo

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Wether to resurface or not the patella during total knee arthroplasty (TKA) remains controversial. Actually there is three options: always, never or selective resurface. Surgeons in favour of resurface say that non-resurfaced patients have more anterior knee pain and worst knee function scores. In the other side surgeons that leave patella un-resurfaced advocate that it avoids complications with similar postoperative results. This review will discuss the recent available literature on patellar resurfacing based on randomized controlled trials and published meta-analyses. Most of the meta-analysis seems to favour routinely resurfacing of the patella based on less reoperations. However, the most recent RCT show no difference between both options. So far, a method for accurately predicting which patients can avoid patellar resurfacing has not been found.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

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Not applicable for this article.

Dr. Daniel Paccot. 2017. \u201cReplace the Patella in Total Knee Arthroplasty or Not. Always, Never or Selectively: What to do?\u201d. Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 16 (GJMR Volume 16 Issue H2): .

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Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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GJMR-H Classification: NLMC Code: WE 312
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v1.2

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February 7, 2017

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English

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Wether to resurface or not the patella during total knee arthroplasty (TKA) remains controversial. Actually there is three options: always, never or selective resurface. Surgeons in favour of resurface say that non-resurfaced patients have more anterior knee pain and worst knee function scores. In the other side surgeons that leave patella un-resurfaced advocate that it avoids complications with similar postoperative results. This review will discuss the recent available literature on patellar resurfacing based on randomized controlled trials and published meta-analyses. Most of the meta-analysis seems to favour routinely resurfacing of the patella based on less reoperations. However, the most recent RCT show no difference between both options. So far, a method for accurately predicting which patients can avoid patellar resurfacing has not been found.

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Replace the Patella in Total Knee Arthroplasty or Not. Always, Never or Selectively: What to do?

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