ReviewEFORT open reviews2021
Patellar management during total knee arthroplasty: a review.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis 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
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patella is rarely resurfaced during primary total knee arthroplasty in clinical trials conducted in Greece: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Metal-backed patella: a reasonable alternative in a bone-preserving approach in revision TKA.Musculoskeletal surgery · 2026Article
- Routine circumferential patellar denervation during total knee arthroplasty did not consistently eliminate neural structures at the lateral patellar border: A prospective randomised controlled trial with histological outcomes.Journal of experimental orthopaedics · 2026Article
- Personalized alignment in total knee arthroplasty reduces patellar tilt: A retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Simultaneous bilateral total knee arthroplasty with and without patellar resurfacing using a zirconium ceramic femoral component demonstrated equivalent short-term outcomes: A prospective randomised clinical trial.Journal of experimental orthopaedics · 2025Article
- No difference in revision rate in patella-friendly total knee arthroplasty with or without patella resurfacing at 5 years' follow-up. A database analysis.Journal of experimental orthopaedics · 2025Article
- Save the Patella.SICOT-J · 2025Article
- [A comparative study of mid- and long-term effectiveness of patellar resurfacing or non-resurfacing in primary total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- [Patellar tracking in knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Review
- Total knee arthroplasty without patella resurfacing leads to worse results in patients with patellafemoral osteoarthritis Iwano Stages 3-4: a study based on arthroplasty registry data.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Topical vancomycin powder does not affect patella cartilage degeneration in primary total knee arthroplasty and conversion rate for secondary patella resurfacing.Archives of orthopaedic and trauma surgery · 2023Article
- 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
- Isolated effects of patellar resurfacing in total knee arthroplasty and their relation to native patellar geometry.Scientific reports · 2022Article
- [Digital study on the relationship between position of patellar high point and shape of osteotomy surface in Chinese].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Impact of patient and prosthesis characteristics on common reasons for total knee replacement revision: a registry study of 36,626 revision cases from Australia, Sweden, and USA.Acta orthopaedica · 2022Article
- 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
- Analysis of Predictors Affecting Biomechanical Function of the Knee Joint and Its Relation to Anterior Knee Pain.Cureus · 2022Article
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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The optimal management of the patella during total knee arthroplasty (TKA) remains controversial and surgeons tend to approach the patella with one of three general mindsets: always resurface the patella, never resurface the patella, or selectively resurface the patella based on specific patient or patellar criteria.Studies comparing resurfacing and non-resurfacing of the patella during TKA have reported inconsistent and contradictory findings.When resurfacing the patella is chosen, there are a number of available patellar component designs, materials, and techniques for cutting and fixation.When patellar non-resurfacing is chosen, several alternatives are available, including patellar denervation, lateral retinacular release, and patelloplasty. Surgeons may choose to perform any of these alone, or together in some combination.Prospective randomized studies are needed to better understand which patellar management techniques contribute to superior postoperative outcomes. Until then, this remains a controversial topic, and options for patellar management will need to be weighed on an individual basis per patient. Cite this article:
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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.