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

Dr. Daniel Paccot; Dr. Rafael Calvo; Dr. Sergio Arellano

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

Dr. Daniel Paccot * §

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Dr. Rafael Calvo

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Dr. Sergio Arellano

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arellanogs

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§ Universidad del desarollo

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

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Abstract

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.

References

30 Cites in Article

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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.

Data Availability

Not applicable for this article.

How to Cite This Article

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

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GJMR Volume 16 Issue H2

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

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Classification

GJMR-H Classification NLMC Code: WE 312

Submission ReceivedDecember 13, 2015
Peer Review Double Blind
Handling Editor
Accepted January 3, 2016
Published January 15, 2016

Version of record

v1.2

Issue date

February 7, 2017

Language

English

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Article Matrices

Total Score: 184

Country: Chile

Subject: Global Journal of Medical Research

Authors: Dr. Rafael Calvo, Dr. Daniel Paccot, Dr. David Figueroa, Dr. Sergio Arellano (PhD/Dr. count: 4)

View Count (all-time): 440

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Publish Date: 2016 01, Fri

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