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Patella resurfacing during total knee arthroplasty: have we got the issue covered?

Sandiford NA, Alao U, Salamut W, Weitzel S, Skinner JA - Clin Orthop Surg (2014)

Bottom Line: Multiple studies have examined mechanical and clinical results of TKA with native and resurfaced patellae with no clear consensus.The majority of surgeons only sometimes resurfaced the patella.The number who always and never resurfaced were similar.

View Article: PubMed Central - PubMed

Affiliation: Queen Mary's Hospital, Sidcup, UK.

ABSTRACT

Background: Management of the patella during total knee arthroplasty (TKA) is controversial. Multiple studies have examined mechanical and clinical results of TKA with native and resurfaced patellae with no clear consensus.

Methods: We surveyed a large cohort of consultant surgeons in a questionnaire based study in order to assess the indications for patella resurfacing and to correlate practice with degree of specialization, experience and volume of procedures performed.

Results: Six hundred and nineteen surgeons were included. The main indication for patella resurfacing was patellofemoral arthritis. The ratio of those who always:sometimes:never resurfaced was 1:2:1 irrespective of experience or volume performed. There was no difference between knee specialists and non-specialists (p = 0.977) or between high and lower volume surgeons (p = 0.826). Senior and high volume surgeons tended to always resurface.

Conclusions: The majority of surgeons only sometimes resurfaced the patella. The number who always and never resurfaced were similar. There was a tendency for more experienced and high volume surgeons to always resurface.

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Overall results.
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Figure 2: Overall results.

Mentions: Overall 296 surgeons (48%) resurfaced the patella sometimes while 173 (28%) always resurfaced and 149 (24%) never performed patella resurfacing during TKA (Fig. 2).


Patella resurfacing during total knee arthroplasty: have we got the issue covered?

Sandiford NA, Alao U, Salamut W, Weitzel S, Skinner JA - Clin Orthop Surg (2014)

Overall results.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4233214&req=5

Figure 2: Overall results.
Mentions: Overall 296 surgeons (48%) resurfaced the patella sometimes while 173 (28%) always resurfaced and 149 (24%) never performed patella resurfacing during TKA (Fig. 2).

Bottom Line: Multiple studies have examined mechanical and clinical results of TKA with native and resurfaced patellae with no clear consensus.The majority of surgeons only sometimes resurfaced the patella.The number who always and never resurfaced were similar.

View Article: PubMed Central - PubMed

Affiliation: Queen Mary's Hospital, Sidcup, UK.

ABSTRACT

Background: Management of the patella during total knee arthroplasty (TKA) is controversial. Multiple studies have examined mechanical and clinical results of TKA with native and resurfaced patellae with no clear consensus.

Methods: We surveyed a large cohort of consultant surgeons in a questionnaire based study in order to assess the indications for patella resurfacing and to correlate practice with degree of specialization, experience and volume of procedures performed.

Results: Six hundred and nineteen surgeons were included. The main indication for patella resurfacing was patellofemoral arthritis. The ratio of those who always:sometimes:never resurfaced was 1:2:1 irrespective of experience or volume performed. There was no difference between knee specialists and non-specialists (p = 0.977) or between high and lower volume surgeons (p = 0.826). Senior and high volume surgeons tended to always resurface.

Conclusions: The majority of surgeons only sometimes resurfaced the patella. The number who always and never resurfaced were similar. There was a tendency for more experienced and high volume surgeons to always resurface.

Show MeSH
Related in: MedlinePlus