SynthesisClinical orthopaedics and related research2005
Failure to resurface the patella during total knee arthroplasty may result in more knee pain and secondary surgery.
Synthesis in Clinical orthopaedics and related research, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 6 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
58 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials.Medicina (Kaunas, Lithuania) · 2022Pooled 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
- Patellar denervation with electrocautery in total knee arthroplasty without patellar resurfacing: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Pooled it
- Determinants of anterior knee pain following total knee replacement: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Pooled it
- Patellar resurfacing in total knee arthroplasty for osteoarthritis: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011Pooled it
- Systematic review of patellar resurfacing in total knee arthroplasty.International orthopaedics · 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
- Does Patellar Resurfacing Improve Outcomes in Valgus Osteoarthritis with Compromised Patellofemoral Joint Status? A Retrospective Consecutive Comparative Study.Journal of clinical medicine · 2026Article
- Retropatellar resurfacing in primary total knee arthroplasty does not improve clinical outcomes but increases revision rates.Archives of orthopaedic and trauma surgery · 2026Observational
- Patellar resurfacing in knee arthroplasty: A comprehensive review and meta-analysis.World journal of orthopedics · 2025Article
- A Single Surgeon Experience of Selective Patellar Resurfacing During Primary Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Review
- Fragility analysis and systematic review of patellar resurfacing versus non-patellar resurfacing in total knee arthroplasty.Journal of experimental orthopaedics · 2024Article
- Patella resurfacing is not associated with a difference in the Oxford knee score after total knee arthroplasty but stair descent is enhanced.Archives of orthopaedic and trauma surgery · 2023Article
- A Narrative Review of Patellar Resurfacing Versus Non-resurfacing in Total Knee Arthroplasty.Cureus · 2023Review
- Article
- Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study.Knee surgery & related research · 2022Article
- Causes and Clinical Outcomes of Patellar Post Impingement.Arthroplasty today · 2022Article
- Is the patient aware of the difference between resurfaced and nonresurfaced patella after bilateral total knee arthroplasty? A systematic review of simultaneous bilateral randomized trials.Knee surgery & related research · 2022Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledResurfacing the patella during primary total knee arthroplasty is controversial. The objective of this meta-analysis was to evaluate the outcome of total knee arthroplasty with or without resurfacing of the patella with particular attention to patient satisfaction, incidence of anterior knee pain, patellar complications, and the need for secondary operations. Computerized databases were searched for citations and published randomized clinical trials relevant to patellar resurfacing from 1966-2003. Of 158 citations identified as related to patellar resurfacing during total knee arthroplasty, 14 articles met all inclusion criteria for this study. The incidence of anterior knee pain was greater in knees with nonresurfaced patellas. Secondary resurfacings for anterior knee pain was needed in 8.7% of nonresurfaced knees. No difference in reported complications existed. Total knee arthroplasty resulted in improvement of functional outcome regardless of whether the patella was resurfaced. Based on the results of this meta-analysis, nonresurfacing of the patella during primary total knee arthroplasty is likely to result in a greater incidence of anterior knee pain, the need for secondary resurfacing in almost one in 10 patients, and possibly less patient satisfaction. LEVEL OF EVIDENCE: Therapeutic study, Level IV (case series). See the Guidelines for Authors for a complete description of levels of evidence.
Indexed as
Identifiers
16131890What 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.