Evidence map›Paper›PMID 36766489›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Patellar Resurfacing in Total Knee Arthroplasty, a Never-Ending Controversy; Case Report and Literature Review.

Răzvan Adam, Cosmin Moldovan, Sorin Tudorache, Tudor Hârșovescu, Carmen Orban, Mark Pogărășteanu, Elena Rusu

Abstract readCase Reports
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Personalized alignment in total knee arthroplasty reduces patellar tilt: A retrospective study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
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  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Răzvan AdamDepartment of Orthopedics and Traumatology, Elias Emergency University Hospital, 011461 Bucharest, Romania.ORCID 0000-0003-2266-3860
Cosmin MoldovanDepartment of Clinical Sciences, General Surgery, Faculty of Medicine, Titu Maiorescu University of Bucharest, 040051 Bucharest, Romania.ORCID 0000-0003-1362-6427
Sorin TudoracheDepartment of Preclinical Sciences, Anatomy and Embryology, Faculty of Medicine, Titu Maiorescu University of Bucharest, 040051 Bucharest, Romania.
Tudor HârșovescuDepartment of Preclinical Sciences, Anatomy and Embryology, Faculty of Medicine, Titu Maiorescu University of Bucharest, 040051 Bucharest, Romania.
Carmen OrbanDepartment of Anesthesia and Intensive Care, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Mark PogărășteanuDepartment of Orthopedics and Traumatology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Elena RusuDepartment of Preclinical Sciences, Biochemistry, Faculty of Medicine, Titu Maiorescu University of Bucharest, 040051 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total knee arthroplasty (TKA) remains a lifesaving procedure for advanced gonarthrosis. However, patella resurfacing (PR) in TKA remains a controversial procedure, leading to extensive discussions amongst orthopedic surgeons, regarding its indications and results. Based on these premises, we present a clinical case of a 70-year-old Caucasian woman admitted for pain, swelling and limitation of left knee joint mobility. Her medical history records an Ahlback stage IV gonarthrosis with simultaneous bilateral TKA surgery performed in different hospital, when two NexGen cemented total prostheses were implanted with patellar resurfacing being performed only on the right side. Our clinical (American Knee Society Score, Lonner and Feller scales) and radiological evaluations (CT scan and Xray) revealed left patellar arthrosis and a slight lateral subluxation of the patella. The chosen treatment plan was revision surgery for PR and patellar prosthesis with a cemented patellar component, cross-linked polyethylene, no 32 NexGen model with 8.5 mm thickness. The immediate and distant postoperative evolution was favorable. Extensive literature review shows that, at present, PR remains at surgeon's discretion mainly based on his previous results. Therefore, we believe there is an imperative need to develop high quality studies based on accurate scientific evidence to universally establish valid guidelines for PR in TKA.

Indexed as

anterior knee painarthroplastypatellaresurfacingtotal knee replacement

Identifiers

PMID36766489
PMCPMC9914207

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Registered trials

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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.