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Patellar resurfacing in total knee replacement: a ten-year randomised prospective trial.

Author: AshworthM, CampbellD G, DuncanW W, MintzA, StevensonT M, StirlingJ, WakefieldL

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.

Overview

This study compared the outcomes of total knee replacement surgery with and without a resurfaced (smooth) patella (kneecap). The study followed 100 patients for ten years and found no significant difference in knee function or complications between the two groups. Both groups experienced a similar decline in knee scores over time, and no additional problems with the kneecap were observed. Based on these results, the study concluded that routinely resurfacing the kneecap during total knee replacement surgery is not recommended.
Paper Details　
Original Abstract of the Article :
A series of 100 consecutive osteoarthritic patients was randomised to undergo total knee replacement using a Miller-Galante II prosthesis, with or without a cemented polyethylene patellar component. Knee function was evaluated using the American Knee Society score, Western Ontario and McMaster Unive...See full text at original site
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引用元：
https://doi.org/10.1302/0301-620X.88B6.16822

データ提供：米国国立医学図書館（NLM）

Patellar Resurfacing in Total Knee Replacement

This research explores a surgical technique used in total knee replacement, examining the benefits and potential drawbacks of resurfacing the patella, the kneecap, during this procedure. It's like analyzing the intricate design of a desert oasis – the researchers aimed to evaluate the effectiveness of a specific surgical approach for restoring knee function.

No Significant Benefit Found for Patellar Resurfacing

The research found no significant difference in knee function between patients who underwent total knee replacement with patellar resurfacing and those who did not. The study followed patients for up to ten years and found that both groups experienced similar deterioration of knee function over time. This suggests that routine patellar resurfacing during total knee replacement may not offer a significant benefit. It's like discovering that a shortcut across the desert is not actually the most efficient route – the researchers found that patellar resurfacing did not lead to a better outcome for patients.

Choosing the Right Surgical Approach

This research highlights the importance of carefully considering the potential benefits and drawbacks of different surgical techniques used in total knee replacement. It underscores the need for individualized treatment plans based on patient-specific factors. It's like choosing the best path through a desert landscape – understanding the unique needs and characteristics of each patient is essential for finding the right path to recovery and well-being.

Dr.Camel's Conclusion

This research provides valuable insights into the surgical management of osteoarthritis. While patellar resurfacing may not offer a significant benefit, careful consideration of individual patient factors is essential when choosing the right surgical approach. It's like a camel caravan navigating a desert landscape – understanding the terrain and choosing the best path is crucial for achieving a successful journey.

Date :
  1. Date Completed 2006-07-28
  2. Date Revised 2022-03-18
Further Info :

Pubmed ID

16720765

DOI: Digital Object Identifier

10.1302/0301-620X.88B6.16822

Related Literature

Article Analysis
・Effective treatment of knee replacement
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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