SynthesisInternational orthopaedics2011
Systematic review of patellar resurfacing in total knee arthroplasty.
Synthesis in International orthopaedics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 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
55 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Patellar Resurfacing in Primary Total Knee Arthroplasty: A Meta-analysis and Trial Sequential Analysis of 50 Randomized Controlled Trials.Orthopaedic surgery · 2023Pooled 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
- Patellofemoral resurfacing and patellar denervation in primary total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled 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 versus nonresurfacing in total knee arthroplasty: a meta-analysis of randomised controlled trials.International orthopaedics · 2013Pooled it
- Comparison of fixed and mobile-bearing total knee arthroplasty in terms of patellofemoral pain and function: a prospective, randomised, controlled trial.BMC musculoskeletal disorders · 2017Trial
- Anterior knee pain following total knee replacement correlates with the OARSI score of the cartilage of the patella.Acta orthopaedica · 2014Trial
- A randomized controlled trial comparing patellar retention versus patellar resurfacing in primary total knee arthroplasty: 5-10 year follow-up.BMC research notes · 2012Trial
- Is Routine Patellar Resurfacing During Primary Total Knee Arthroplasty Associated With Increased Rates of Postoperative Peripatellar Injury?Arthroplasty today · 2026Article
- Retropatellar resurfacing in primary total knee arthroplasty does not improve clinical outcomes but increases revision rates.Archives of orthopaedic and trauma surgery · 2026Observational
- A Single Surgeon Experience of Selective Patellar Resurfacing During Primary Total Knee Arthroplasty.Arthroplasty today · 2024Article
- New evidence on patella resurfacing in modern total knee arthroplasty for all inflammatory arthritis in a mixed Asian population.Journal of clinical orthopaedics and trauma · 2024Article
- Review
- Article
- Patellar resurfacing and kneeling ability after total knee arthroplasty: a systematic review.Arthroplasty (London, England) · 2023Review
- Patellar Resurfacing in Total Knee Arthroplasty, a Never-Ending Controversy; Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2023Article
- Comparison of Clinical Outcomes after Total Knee Arthroplasty with and without Patellar Resurfacing in the Same Patients.Clinics in orthopedic surgery · 2022Article
- Isolated effects of patellar resurfacing in total knee arthroplasty and their relation to native patellar geometry.Scientific reports · 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
Controversies existing over resurfacing the patella in total knee arthroplasty remain in the literature. The purpose of this review was to evaluate the effectiveness of resurfacing versus nonresurfacing the patella in total knee arthroplasty. We searched the Cochrane Library, MEDLINE and EMBASE for published randomised clinical trials relevant to patellar resurfacing. The relative risk of reoperation was significantly lower for the patellar resurfacing group than for the nonresurfacing group (relative risk 0.57, 95% confidence interval 0.38-0.84, P =0.004). The overall incidence of postoperative anterior knee pain of the 1,421 knees included was 12.9% in the patellar resurfacing group and 24.1% in the nonresurfacing group. The existing evidence indicates that patellar resurfacing can reduce the risk of reoperation with no improvement in postoperative knee function or patient satisfaction over total knee arthroplasty without patellar resurfacing. Whether it can decrease the incidence of anterior knee pain remains uncertain.
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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.