Trial reportThe Journal of arthroplasty2003
Resurfacing versus not resurfacing the patella in total knee arthroplasty: 8- to 10-year results.
Trial report in The Journal of arthroplasty, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Functional outcome and cost effectiveness of patellar resurfacing and non-resurfacing in total knee arthroplasty: systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Different modalities of patellar management in primary total knee arthroplasty: a Bayesian network meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2024Pooled it
- Patellar Resurfacing in Primary Total Knee Arthroplasty: A Meta-analysis and Trial Sequential Analysis of 50 Randomized Controlled Trials.Orthopaedic surgery · 2023Pooled it
- Clinical effectiveness of patellar resurfacing, no resurfacing and selective resurfacing in primary total knee replacement: systematic review and meta-analysis of interventional and observational evidence.BMC musculoskeletal disorders · 2022Pooled it
- Patellar resurfacing versus nonresurfacing in total knee arthroplasty: an updated meta-analysis of randomized controlled trials.Journal of orthopaedic surgery and research · 2021Pooled it
- Why are patients dissatisfied following a total knee replacement? A systematic review.International orthopaedics · 2020Pooled it
- Patellar resurfacing versus patellar retention in primary total knee arthroplasty: a systematic review of overlapping meta-analyses.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Patellofemoral resurfacing and patellar denervation in primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled it
- Patellar resurfacing versus nonresurfacing in total knee arthroplasty: a meta-analysis of randomised controlled trials.International orthopaedics · 2013Pooled it
- Early migration of tibial components is associated with late revision: a systematic review and meta-analysis of 21,000 knee arthroplasties.Acta orthopaedica · 2012Pooled it
- Patellar resurfacing in total knee arthroplasty for osteoarthritis: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011Pooled it
- A randomized controlled trial comparing patellar retention versus patellar resurfacing in primary total knee arthroplasty: 5-10 year follow-up.BMC research notes · 2012Trial
- Patellar resurfacing in primary total knee arthroplasty is associated with fewer reoperations but comparable clinical and functional outcomes: an umbrella review of meta-analyses.Arthroplasty (London, England) · 2026Review
- Impact of osteoarthritis aetiology and implant constraint on the risk of secondary patellar resurfacing after total knee arthroplasty: An analysis of German Arthroplasty Registry (EPRD) data.Journal of experimental orthopaedics · 2026Article
- Single Peg Patellar Component Fracture in Total Knee Replacement: A Case Report.Journal of orthopaedic case reports · 2026Article
- The influence of implant factors on patient outcomes in primary total knee arthroplasty.Journal of orthopaedics · 2024Article
- Review
- Fragility analysis and systematic review of patellar resurfacing versus non-patellar resurfacing in total knee arthroplasty.Journal of experimental orthopaedics · 2024Article
- Patella Strength Characteristics in Cemented vs Press-fit Implants: A Biomechanical Analysis of Initial Stability.Arthroplasty today · 2022Article
- Article
Corrections and comments
- Commented on by
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patellar resurfacing in total knee arthroplasty is a topic debated in the literature. Concerns include fracture, dislocation, loosening, and extensor mechanism injury. Residual anterior knee pain has been reported when the patella is not resurfaced. One hundred patients with osteoarthritic knees were prospectively randomized to either have their patella resurfaced or left not resurfaced. All patients were treated with a single prosthesis that featured an anatomically designed patellofemoral articulation (Anatomic Medullary Knee, DePuy, Warsaw, IN) Two patients in the unresurfaced group and one in the resurfaced group required repeat surgery for patellofemoral complications. At 8- to 10-year follow-up evaluations, Knee Society Clinical Ratings scores were not different between the 2 groups. Rates of anterior knee pain with walking and stair climbing were significantly less in the resurfaced group. Eighty percent of patients with a resurfaced patella were extremely satisfied with their total knee arthroplasty versus 48% without patellar resurfacing. When satisfied and extremely satisfied patients were grouped together, there was no difference between the 2 groups.
Indexed as
Identifiers
12934203What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.