Better outcomes with patellar resurfacing during primary total knee arthroplasty: a meta-analysis study
| العنوان: | Better outcomes with patellar resurfacing during primary total knee arthroplasty: a meta-analysis study |
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| المؤلفون: | Yasser El Mansy, Markus Tingart, Marc Niewiera, Björn Rath, Filippo Migliorini, Jörg Eschweiler |
| المصدر: | Archives of Orthopaedic and Trauma Surgery. 139:1445-1454 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_specialty, Knee Joint, medicine.medical_treatment, Prosthesis, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Orthopedics and Sports Medicine, Prospective Studies, Range of Motion, Articular, Arthroplasty, Replacement, Knee, Pain, Postoperative, 030222 orthopedics, business.industry, Patella, 030229 sport sciences, General Medicine, musculoskeletal system, Surgery, Clinical trial, Systematic review, Meta-analysis, Orthopedic surgery, Complication, Range of motion, business |
| الوصف: | Total knee arthroplasty (TKA) is a feasible and cost-effective procedure. However, resurfacing of the patella sparks a heated debate. Anterior knee pain after TKA was supposed to be correlated to the patellofemoral joint, and the resurface of the patella was believed to be effective to avoid this complication. A meta-analysis was performed to update current evidence concerning the outcomes of patellar resurfacing versus retaining for total knee arthroplasty. The first outcomes of interest were to compare the rate of anterior knee pain and revision surgeries. This study was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA). A comprehensive review of the literature was conducted accessing the main databases: Embase, Google Scholar, PubMed, Scopus. All the prospective clinical trials comparing the outcomes between patellar resurfacing versus retaining were included in this study. Only articles classified as level of evidence I to II were considered for inclusion. Only studies reporting a minimum 24 months follow-up were included. The following data were extracted: demographic baseline, anterior knee pain, reoperations, clinical scores (HSS, KSS and related subscales) and range of motion (ROM). Studies solely reporting quantitative data under the outcomes of interest were included. In favor of the resurfacing group, we observed a statistically significant reduced rate of anterior knee pain (odd ratio 1.73) and reoperation (odd ratio 3.24). In the resurfacing group, a prevalence of anterior knee pain of 11.15% was detected, whereas in the retaining group it amounted to 17.39%. Furthermore, a greater KSS pain (+ 0.97%), KSS clinical (+ 0.23%), KSS functional (+ 2.44%), KSS overall (+ 2.47%) and HSS (+ 5.64%) were reported. In the retaining group, we found a better range of motion (+ 3.09°). Based on the main findings of this meta-analysis, patellar resurfaced TKA was demonstrated to have performed superior overall. Patellar resurfacing detected a lower rate of postoperative anterior knee pain and reoperation. Moreover, the resurfacing group showed greater value of the HSS, KSS and related subscales. In favor of the retaining group, a slightly better ROM was evidenced. Level II, meta-analysis of prospective clinical trials |
| تدمد: | 1434-3916 0936-8051 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f6b5fe251dbebe8477a19041b8266278Test https://doi.org/10.1007/s00402-019-03246-zTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....f6b5fe251dbebe8477a19041b8266278 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14343916 09368051 |
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