ArticleActa orthopaedica2010
Early outcomes of patella resurfacing in total knee arthroplasty.
Article in Acta orthopaedica, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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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
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- 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
- 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 in total knee arthroplasty for osteoarthritis: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011Pooled it
- Patellar resurfacing in total knee arthroplasty: functional outcome differs with different outcome scores: A randomized, double-blind study of 129 knees with 3 years of follow-up.Acta orthopaedica · 2016Trial
- Patellar resurfacing in posterior cruciate ligament retaining total knee arthroplasty (PATRES): design of a randomized controlled clinical trial.BMC musculoskeletal disorders · 2014Trial
- The clinical and cost-effectiveness of elective primary total knee replacement with PAtellar Resurfacing compared to selective patellar resurfacing: a pragmatic multicentre randomized controlled Trial (PART).Bone & joint open · 2024Article
- Bilateral simultaneous total knee arthroplasty with and without patellar resurfacing. A prospective single surgeon series with a minimum follow-up of 7 years.Knee surgery & related research · 2024Article
- Higher failure rate of secondary patellar resurfacing following bicompartmental knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- A Narrative Review of Patellar Resurfacing Versus Non-resurfacing in Total Knee Arthroplasty.Cureus · 2023Review
- Osteoarthritic Severity in Unresurfaced Patellae Does Not Adversely Affect Patient-reported Outcomes in Contemporary Primary TKA.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Patellar management during total knee arthroplasty: a review.EFORT open reviews · 2021Review
- The Patellar Resurfacing in Total Knee Prosthesis: Indications for Bone Stock and Patellar Morphology.Frontiers in medicine · 2020Review
- An optimum prosthesis combination of low-risk total knee arthroplasty options in all five primary categories of design results in a 60% reduction in revision risk: a registry analysis of 482,373 prostheses.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Optimizing patellar positioning during total knee arthroplasty: an anatomical and clinical study.International orthopaedics · 2017Article
- Evidence base and practice variation in acute care processes for knee and hip arthroplasty surgeries.PloS one · 2017Article
- Secondary patella resurfacing in painful non-resurfaced total knee arthroplasties : A study of survival and clinical outcome from the Norwegian Arthroplasty Register (1994-2011).International orthopaedics · 2016Article
- Anterior knee pain following primary total knee arthroplasty.World journal of orthopedics · 2015Review
- Factors associated with the incidence of revision total knee arthroplasty in Korea between 2007 and 2012: an analysis of the National Claim Registry.BMC musculoskeletal disorders · 2015Article
- Secondary patellar resurfacing following total knee arthroplasty : A cohort study in fifty eight knees with a mean follow-up of thirty one months.International orthopaedics · 2015Article
- Failure of aseptic revision total knee arthroplasties.Acta orthopaedica · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatella resurfacing in total knee arthroplasty is a contentious issue. The literature suggests that resurfacing of the patella is based on surgeon preference, and little is known about the role and timing of resurfacing and how this affects outcomes.
methodsWe analyzed 134,799 total knee arthroplasties using data from the Australian Orthopaedic Association National Joint Replacement Registry. Hazards ratios (HRs) were used to compare rates of early revision between patella resurfacing at the primary procedure (the resurfacing group, R) and primary arthroplasty without resurfacing (no-resurfacing group, NR). We also analyzed the outcomes of NR that were revised for isolated patella addition.
resultsAt 5 years, the R group showed a lower revision rate than the NR group: cumulative per cent revision (CPR) 3.1% and 4.0%, respectively (HR = 0.75, p < 0.001). Revisions for patellofemoral pain were more common in the NR group (17%) than in the R group (1%), and "patella only" revisions were more common in the NR group (29%) than in the R group (6%). Non-resurfaced knees revised for isolated patella addition had a higher revision rate than patella resurfacing at the primary procedure, with a 4-year CPR of 15% and 2.8%, respectively (HR = 4.1, p < 0.001).
interpretationRates of early revision of primary total knees were higher when the patella was not resurfaced, and suggest that surgeons may be inclined to resurface later if there is patellofemoral pain. However, 15% of non-resurfaced knees revised for patella addition are re-revised by 4 years. Our results suggest an early beneficial outcome for patella resurfacing at primary arthroplasty based on revision rates up to 5 years.
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