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Is the patient aware of the difference between resurfaced and nonresurfaced patella after bilateral total knee arthroplasty? A systematic review of simultaneous bilateral randomized trials

김만수|Choi Keun Young|인용|Sohn Sueen|고인준
대한슬관절학회 (Korean Knee Society)|2022.12|Knee Surgery and Related Research|제34권 |pp. 4-4|DOI 10.1186/s43019-022-00133-7

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키워드

PatellaBilateralTotal knee arthroplastyPatellar resurfacing

초록

Purpose: The optimal practice of patellar management in total knee arthroplasty (TKA) remains controversial. This systematic review was conducted to compare patella-related (1) patient-reported outcome measures (PROMs), (2) clinical outcomes, and (3) reoperation rates after TKA with patellar resurfacing (PR) and nonresurfacing (NPR) in single patients undergoing bilateral patellar procedures during simultaneous bilateral TKA. Methods: This review included prospective bilateral randomized trials investigating patella-related PROMs, clinical outcomes, and reoperation (secondary resurfacing and patellar component revision) and other patella-related complications in single patients undergoing randomly assigned PR and NPR during bilateral TKA. Results: Six studies were included. There was no difference in PROMs between PR and NPR in five studies, whereas PR was found to be superior to NPR in one study. Five studies reported similar functional outcomes and complication rates between PR and NPR, while one study found better clinical outcomes and a lower complication rate in PR. Between-group secondary resurfacing and patellar revision rates were similar in all studies. Conclusions: The majority of patients who underwent bilateral patellar procedures could not tell the difference between PR and NPR following bilateral TKA. There were no differences in clinical outcomes or reoperation and complication rates between PR and NPR. No evidence was found to support routine PR. Level of evidence: Therapeutic Level 1

Abstract

Purpose: The optimal practice of patellar management in total knee arthroplasty (TKA) remains controversial. This systematic review was conducted to compare patella-related (1) patient-reported outcome measures (PROMs), (2) clinical outcomes, and (3) reoperation rates after TKA with patellar resurfacing (PR) and nonresurfacing (NPR) in single patients undergoing bilateral patellar procedures during simultaneous bilateral TKA. Methods: This review included prospective bilateral randomized trials investigating patella-related PROMs, clinical outcomes, and reoperation (secondary resurfacing and patellar component revision) and other patella-related complications in single patients undergoing randomly assigned PR and NPR during bilateral TKA. Results: Six studies were included. There was no difference in PROMs between PR and NPR in five studies, whereas PR was found to be superior to NPR in one study. Five studies reported similar functional outcomes and complication rates between PR and NPR, while one study found better clinical outcomes and a lower complication rate in PR. Between-group secondary resurfacing and patellar revision rates were similar in all studies. Conclusions: The majority of patients who underwent bilateral patellar procedures could not tell the difference between PR and NPR following bilateral TKA. There were no differences in clinical outcomes or reoperation and complication rates between PR and NPR. No evidence was found to support routine PR. Level of evidence: Therapeutic Level 1

참고문헌 (39)

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관련 논문AI추천

Bilateral simultaneous total knee arthroplasty with and without patellar resurfacing. A prospective single surgeon series with a minimum follow‑up of 7 yearsCesar Ángel Pesciallo, German Garabano, Hernán Del Sel, Leonel Perez Alamino대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 A Comparison of Patella Retention versus Resurfacing for Moderate or Severe Patellar Articular Defects in Total Knee Arthroplasty: Minimum 5-year Follow-up문상원, 서승석, Chang Wan Kim대한슬관절학회 · Knee Surgery and Related Research2011 · 제23권 제3호Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort studyGi Beom Kim, Oog Jin Shon대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권 Safety and Efficacy of 6.2 mm Patellar Button in Resurfacing Less than 20 mm Thin Patella: A Matched Pair AnalysisAnoop Jhurani, Mukesh Aswal, Nidhi Singh, Piyush Agarwal, Purvi Saxena대한슬관절학회 · Knee Surgery and Related Research2018 · 제30권 제2호Comparison of functional outcomes between single-radius and multi-radius femoral components in primary total knee arthroplasty: a meta-analysis of randomized controlled trialsChoi Hyung-Suk, Chun Dong-Il, Kim Jahyung, Kim Jun-Bum, Kim Yong-Beom, Kwon Sai-Won, Lee Byung-Ill, Lee Jeong Seok, Min Kyung-Dae, Park Suyeon, Seo Gi-Won대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권 Unicompartmental vs. segmental bicompartmental vs. total knee replacement: comparison of clinical outcomesAl-Dadah Oday, Barrett David S., Chapman-Sheath Philip J., Hawes Georgina, Tice John William대한슬관절학회 · Knee Surgery and Related Research2020 · 제32권

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