SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Determinants of anterior knee pain following total knee replacement: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 9 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
54 citing papers in PubMed, 9 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Does Patellar Denervation with Electrocautery Benefits for Total Knee Arthroplasty without Patellar Resurfacing: A Meta-analysis of Randomized Controlled Trails.Orthopaedic surgery · 2024Pooled it
- Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Patellar Denervation with Electrocautery Reduces Anterior Knee Pain within 1 Year after Total Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials.Orthopaedic surgery · 2021Pooled 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
- Is patellar denervation necessary in total knee arthroplasty without patellar resurfacing?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Patellar non-eversion in primary TKA reduces the complication rate.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015Pooled 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
- The efficacy of patellar denervation on prognosis and kneeling capacity after unicompartmental knee arthroplasty: a randomized clinical trial.Journal of orthopaedic surgery and research · 2024Trial
- Effects of the Femoral Nerve Block and Adductor Canal Block on Tourniquet Response and Postoperative Analgesia in Total Knee Arthroplasty.Journal of healthcare engineering · 2022Trial
- Does Circumferential Patellar Denervation Result in Decreased Knee Pain and Improved Patient-reported Outcomes in Patients Undergoing Nonresurfaced, Simultaneous Bilateral TKA?Clinical orthopaedics and related research · 2020Trial
- No difference in patellar position between mobile-bearing and fixed-bearing total knee arthroplasty for medial osteoarthritis: a prospective randomized study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Trial
- Clinical and radiologic outcomes of two patellar resection techniques during total knee arthroplasty: a prospective randomized controlled study.International orthopaedics · 2019Trial
- 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
- Anterior knee pain is a relevant cause for dissatisfaction after total knee arthroplasty without patellar resurfacing.Journal of experimental orthopaedics · 2025Article
- SPECT/CT and triple-phase bone scan: A valuable diagnostic approach for identifying indications for secondary patellar resurfacing in patients with unexplained anterior knee pain post-TKA.Arthroplasty (London, England) · 2025Article
- Does Timing of Hindfoot Reconstruction Before or After Primary Total Knee Arthroplasty Impact Reoperation Rates?Foot & ankle orthopaedics · 2025Article
- The influence of patellar morphology on clinical outcomes after unicompartmental knee arthroplasty.International orthopaedics · 2024Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAnterior knee pain (AKP) following total knee replacement (TKR) is both prevalent and clinically relevant. The purpose of this study was to systematically review the peer-reviewed literature, and to identify and assess the different modifiable and non-modifiable determinants that may be associated with the development of AKP in patients following primary TKR.
methodsA systematic computerized database search (Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and Google Scholar) was performed in January 2012. The quality of the studies was assessed using the GRADE approach.
resultsA total of 54 articles met the inclusion criteria. Variables that have been researched with regard to the prevalence of AKP include patient and knee-specific characteristics, prosthetic design, operative technique, treatment of the patella, and time of assessment. A weak correlation with AKP was found for specific retained presurgery gait patterns. A weak recommendation can be given for the use of femoral components with a posterior centre of rotation, resection of Hoffa's fat pad, patellar rim electrocautery, and preventing combined component internal rotation. The correlation between postsurgical AKP and the degree of patellar cartilage wear, tibial component bearing strategies, and patellar resurfacing is inconclusive. Due to substantial heterogeneity of the included studies, no meta-analysis was performed.
conclusionsNo single variable is likely to explain the differences in the reported rates of AKP, although variables leading to abnormal patellofemoral joint loading appear to be of special significance. LEVEL OF EVIDENCE: III.
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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.