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Comparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation.
| Content Provider | Europe PMC |
|---|---|
| Author | Kaseb, Mohammad H. Tahmasebi, Mohammad N. Mortazavi, SM Javad Sobhan, Mohammad R. Nabian, Mohammad H. |
| Copyright Year | 2018 |
| Abstract | Background: There is no difference in the functional outcomes 6 months after total knee arthroplasty (TKA) for knee osteoarthritis between patellar resurfacing and non-resurfacing. Thus, we have performed this study to compare the short-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 randomized to receive patellar resurfacing (n=24; resurfaced group) or to retain their native patella (n=26; non-resurfaced group) based on envelope selection and provided informed consent. Disease specific outcomes including Knee Society Score (KSS), Knee Society Function Score (KSKS-F), Kujala Anterior Knee Pain Scale (AKPS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), Short Form 36 (SF-36), and functional patella-related activities were measured within six months of follow-up. Results: There was no significant difference between the resurfaced and non-resurfaced groups in pre and post-operative improvement of range of motion (ROM) (P=0.421), KSS (P=0.782, P=0.553), KSKS-F (P=0.241, P=0.293), AKPS (P=0.128, P=0.443), WOMAC (P=0.700, P=0.282), and pain scores (P=0.120, P=0.508). There was no difference in ROM between resurfaced and non-resurfaced group pre (15.24° and 15.45°) and post-operative (18.48° and 18.74). No side effects related to patella was observed in any of the groups. Revision was required in none of the participants. Conclusion: The results showed no significant difference between patellar resurfacing and non-resurfacing in TKA for all outcome measures in a short term. Level of evidence: I |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC5867356&blobtype=pdf |
| ISSN | 23454644 |
| Volume Number | 6 |
| PubMed Central reference number | PMC5867356 |
| Issue Number | 2 |
| PubMed reference number | 29600265 |
| Journal | Archives of Bone and Joint Surgery [Arch Bone Jt Surg] |
| e-ISSN | 2345461X |
| Language | English |
| Publisher | Archives of Bone and Joint Surgery Co. |
| Publisher Date | 2018-03-01 |
| Access Restriction | Open |
| Rights License | Copyright: © BY THE ARCHIVES OF BONE AND JOINT SURGERY |
| Subject Keyword | Non-resurfacing Osteoarthritis Patellar resurfacing Total knee arthroplasty |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
