Patellar arthroplasty in one-stage bilateral total knee arthroplasty for knee osteoarthritis

doi:10.3969/j.issn.2095-4344.2015.17.008

Abstract

Abstract:

BACKGROUND: Total knee arthroplasty is one of the most effective and successful operations for the treatment of various end-stage or severe knee diseases. However, there is no consensus about routine patella resurfacing in total knee arthroplasty.

OBJECTIVE: To investigate the efficacy of patellar arthroplasty in one-stage bilateral total knee arthroplasty for the treatment of knee osteoarthritis.

METHODS: Patients undergoing bilateral total knee arthroplasty were selected from the Department of Orthopedic Surgery, Affiliated Hospital of Qingdao University in China between February 2013 and February 2014. They were randomly assigned to two groups. Patellar resurfacing group received patellar arthroplasty. Non-patellar resurfacing group did not receive patellar arthroplasty.

RESULTS AND CONCLUSION: At 3, 6 and 12 months following the surgery, no significant difference in Knee Society Score and range of motion of knee joint was detected between the two groups (P > 0.05). 12 cases experienced anterior knee pain, including 4(13%) of the patellar resurfacing group and 8(27%) of the non-patellar resurfacing group. There were no complications such as prosthesis fracture, loosening, displacement, patellar fracture or patellar necrosis, and patellar prosthesis revision. Results verified that patellar arthroplasty and non-patellar arthroplasty have the same short-term effectiveness in one-stage bilateral total knee arthroplasty for osteoarthritis.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Patella, Knee Joint, Knee Prosthesis, Arthroplasty, Replacement

CLC Number:

R318

Gao Zi-li, Sun Kang, Tian Shao-qi. Patellar arthroplasty in one-stage bilateral total knee arthroplasty for knee osteoarthritis[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(17): 2667-2671.

Figures/Tables 2

References

[1]Atik OS, Uslu M. Bicompartmental knee replacement and patellar resurfacing. A prospective study with a minimum follow-up of ten years. Bull Hosp Jt Dis. 1999;58(2):76-78.
[2]Beaupre L, Secretan C, Johnston DW, et al. A randomized controlled trial comparing patellar retention versus patellar resurfacing in primary total knee arthroplasty: 5-10 year follow-up. BMC Res Notes. 2012;5:273.
[3]Bhattee G, Moonot P, Govindaswamy R, et al. Does malrotation of components correlate with patient dissatisfaction following secondary patellar resurfacing? Knee. 2014;21(1):247-251.
[4]Bischoff MJ, van Raaij TM, Reininga IH, et al. Patellar resurfacing in posterior cruciate ligament retaining total knee arthroplasty (PATRES): design of a randomized controlled clinical trial. BMC Musculoskelet Disord 2014;15:358,.
[5]Camp CL, Bryan AJ, Walker JA, et al. Surgical technique for symmetric patellar resurfacing during total knee arthroplasty. J Knee Surg. 2013;26(4):281-284.
[6]Cheng T, Zhu C, Guo Y, et al. Patellar denervation with electrocautery in total knee arthroplasty without patellar resurfacing: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2014;22(11):2648-2654.
[7]Daniilidis K, Vogt B, Gosheger G, et al. Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty. Int Orthop. 2012; 36(6): 1181-1183.
[8]Glynn A, Huang R, Mortazavi J, et al. The impact of patellar resurfacing in two-stage revision of the infected total knee arthroplasty. J Arthroplasty. 2014;29(7):1439-1442.
[9]Joo JH, Lee SC, Ahn NK, Ahn HS, Jung KA. Patellar resurfacing versus no resurfacing in two-stage revision of infected total knee arthroplasty. Knee. 2013;20(6):451-456.
[10]Keremu A, Maimaitiaili H, Shan P, et al. Effect of patellar non-resurfacing on clinical results after total knee arthroplasty. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013;27 (10):1157-1161.
[11]Kim SH, Lee S, Ro DH, et al. Comparison of patellar resurfacing versus preservation in high flexion total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2014.
[12]Lee GW, Lee SM, Jang SJ, et al. The efficacy of patellar decompression for improving anterior knee pain following total knee arthroplasty without patellar resurfacing. Arch Orthop Trauma Surg. 2013;133(4):561-567.
[13]Lizaur-Utrilla A, Collados-Maestre I, Miralles-Munoz FA, et al. Total knee arthroplasty for osteoarthritis secondary to fracture of the tibial plateau. A prospective matched cohort study. J Arthroplasty. 2015.
[14]Pilling RW, Moulder E, Allgar V, et al. Patellar resurfacing in primary total knee replacement: a meta-analysis. J Bone Joint Surg Am. 2012;94(24):2270-2278.
[15]Roberts DW, Hayes TD, Tate CT, et al. Selective patellar resurfacing in total knee arthroplasty: a prospective, randomized, double-blind study. J Arthroplasty. 2015;30(2): 216-222.
[16]Scheurer P, Reininga IH, van Jonbergen HP, et al. Secondary patellar resurfacing following total knee arthroplasty: a cohort study in fifty eight knees with a mean follow-up of thirty one months. Int Orthop. 2015.
[17]Schiavone Panni A, Cerciello S, Del Regno C, et al. Patellar resurfacing complications in total knee arthroplasty. Int Orthop. 2014;38(2):313-317.
[18]Schindler OS. The controversy of patellar resurfacing in total knee arthroplasty: Ibisne in medio tutissimus? Knee Surg Sports Traumatol Arthrosc 2012;20(7):1227-1244.
[19]Seo SS, Kim CW, Moon SW. A Comparison of patella retention versus resurfacing for moderate or severe patellar articular defects in total knee arthroplasty: minimum 5-year follow-up results. Knee Surg Relat Res. 2011;23(3): 142-148.
[20]Tokuhara Y, Kadoya Y, Kim M, et al. Anterior knee pain after total hip arthroplasty in developmental dysplasia. J Arthroplasty. 2011;26(6):955-960.
[21]van Jonbergen HP, Scholtes VA, van Kampen A, et al. A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing. J Bone Joint Surg Br. 2011;93(8):1054-1059.
[22]Yim SJ, Jang MS, Kim WJ, et al. The Effect of Electrocautery around the Patellar Rim in Patellar Non-Resurfacing Total Knee Arthroplasty. Knee Surg Relat Res. 2012;24(2):104-107.
[23]Zha GC, Sun JY, Dong SJ. Less anterior knee pain with a routine lateral release in total knee arthroplasty without patellar resurfacing: a prospective, randomized study. Knee Surg Sports Traumatol Arthrosc. 2014;22(3):517-525.