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Resurfacing of the patella in total knee arthroplasty. A prospective, randomized, double-blind study.

Author: BarrackR L, BertotA J, MilicicM, MyersL, WaldmanD A, WolfeM W

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
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

A study of 86 patients (118 knees) who underwent total knee replacement compared resurfacing of the patella to retaining the patella. Both groups showed significant improvement in knee function and pain, with no statistically significant differences in overall knee scores, pain levels, function, patient satisfaction, or patellofemoral joint function. While more patients who did not have patellar resurfacing experienced anterior knee pain (13% vs. 7%), the difference was not significant. Six patients in the non-resurfacing group underwent subsequent patellar resurfacing due to anterior knee pain. The study concluded that both methods produced comparable outcomes, with patellar resurfacing potentially requiring a second procedure for pain relief in some cases.
Paper Details　
Original Abstract of the Article :
During a two-year period, eighty-nine patients who were scheduled to have a total knee arthroplasty for the treatment of degenerative osteoarthrosis were randomly assigned to one of two groups: resurfacing of the patella or retention of the patella. All patients received the same posterior cruciate-...See full text at original site
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引用元：
https://doi.org/10.2106/00004623-199708000-00002

データ提供：米国国立医学図書館（NLM）

Resurfacing of the Patella in Total Knee Arthroplasty: A Randomized Study

The field of [total knee arthroplasty (TKA)] constantly seeks to optimize surgical techniques for improved patient outcomes. This research aimed to investigate the impact of patellar resurfacing during TKA. A prospective, randomized, double-blind study was conducted to compare patients who underwent patellar resurfacing with those who did not. The study revealed no significant differences in clinical scores, patient satisfaction, or patellofemoral function between the two groups. However, a higher prevalence of anterior pain was observed in patients who did not have patellar resurfacing, leading to the need for subsequent resurfacing in 10% of these cases. These findings highlight the potential benefits of patellar resurfacing in reducing the risk of anterior pain after TKA.

Patellar Resurfacing: A Potential Solution for Anterior Pain

The research suggests that patellar resurfacing during TKA may contribute to reduced anterior pain, a common complication after this procedure. While the study did not find significant differences in overall outcomes, the higher prevalence of anterior pain and the need for subsequent resurfacing in patients who did not undergo patellar resurfacing suggests a potential benefit of this technique in reducing this complication.

Navigating the Terrain of Knee Replacement

TKA can feel like traversing a complex and challenging landscape, with potential pitfalls along the way. This research provides valuable insights into the potential benefits of patellar resurfacing, suggesting that this technique may contribute to a smoother and less painful recovery journey. By understanding the nuances of this surgical approach, we can make more informed decisions about the best path forward for patients undergoing TKA.

Dr.Camel's Conclusion

This study, like a seasoned camel traversing the rugged terrain of knee replacement surgery, has uncovered insights into the potential benefits of patellar resurfacing. It highlights the need to carefully navigate the landscape of TKA, considering individual patient needs and potential complications to ensure a smoother and more comfortable journey towards recovery.

Date :
  1. Date Completed 1997-09-18
  2. Date Revised 2022-04-08
Further Info :

Pubmed ID

9278070

DOI: Digital Object Identifier

10.2106/00004623-199708000-00002

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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