Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial

BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing p...
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Autor*in:	Shakti Swaroop [verfasserIn] Shivji Prajapati [verfasserIn] Smarajit Patnaik [verfasserIn] Akshaya Sahoo [verfasserIn] Swati Patnaik [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement

Übergeordnetes Werk:	In: Journal of Orthopaedics and Spine - Wolters Kluwer Medknow Publications, 2020, 10(2022), 1, Seite 13-18
Übergeordnetes Werk:	volume:10 ; year:2022 ; number:1 ; pages:13-18

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.4103/JOASP.JOASP_16_22

Katalog-ID:	DOAJ025057820

Internformat


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520			\|a BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future.
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allfields	10.4103/JOASP.JOASP_16_22 doi (DE-627)DOAJ025057820 (DE-599)DOAJ87edbcdddb404fb1abf85c3e5a9b4484 DE-627 ger DE-627 rakwb eng RD701-811 Shakti Swaroop verfasserin aut Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future. outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery Shivji Prajapati verfasserin aut Smarajit Patnaik verfasserin aut Akshaya Sahoo verfasserin aut Swati Patnaik verfasserin aut In Journal of Orthopaedics and Spine Wolters Kluwer Medknow Publications, 2020 10(2022), 1, Seite 13-18 (DE-627)1695778367 26667150 nnns volume:10 year:2022 number:1 pages:13-18 https://doi.org/10.4103/JOASP.JOASP_16_22 kostenfrei https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 kostenfrei http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop kostenfrei https://doaj.org/toc/2666-7150 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 1 13-18
spelling	10.4103/JOASP.JOASP_16_22 doi (DE-627)DOAJ025057820 (DE-599)DOAJ87edbcdddb404fb1abf85c3e5a9b4484 DE-627 ger DE-627 rakwb eng RD701-811 Shakti Swaroop verfasserin aut Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future. outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery Shivji Prajapati verfasserin aut Smarajit Patnaik verfasserin aut Akshaya Sahoo verfasserin aut Swati Patnaik verfasserin aut In Journal of Orthopaedics and Spine Wolters Kluwer Medknow Publications, 2020 10(2022), 1, Seite 13-18 (DE-627)1695778367 26667150 nnns volume:10 year:2022 number:1 pages:13-18 https://doi.org/10.4103/JOASP.JOASP_16_22 kostenfrei https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 kostenfrei http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop kostenfrei https://doaj.org/toc/2666-7150 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 1 13-18
allfields_unstemmed	10.4103/JOASP.JOASP_16_22 doi (DE-627)DOAJ025057820 (DE-599)DOAJ87edbcdddb404fb1abf85c3e5a9b4484 DE-627 ger DE-627 rakwb eng RD701-811 Shakti Swaroop verfasserin aut Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future. outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery Shivji Prajapati verfasserin aut Smarajit Patnaik verfasserin aut Akshaya Sahoo verfasserin aut Swati Patnaik verfasserin aut In Journal of Orthopaedics and Spine Wolters Kluwer Medknow Publications, 2020 10(2022), 1, Seite 13-18 (DE-627)1695778367 26667150 nnns volume:10 year:2022 number:1 pages:13-18 https://doi.org/10.4103/JOASP.JOASP_16_22 kostenfrei https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 kostenfrei http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop kostenfrei https://doaj.org/toc/2666-7150 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 1 13-18
allfieldsGer	10.4103/JOASP.JOASP_16_22 doi (DE-627)DOAJ025057820 (DE-599)DOAJ87edbcdddb404fb1abf85c3e5a9b4484 DE-627 ger DE-627 rakwb eng RD701-811 Shakti Swaroop verfasserin aut Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future. outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery Shivji Prajapati verfasserin aut Smarajit Patnaik verfasserin aut Akshaya Sahoo verfasserin aut Swati Patnaik verfasserin aut In Journal of Orthopaedics and Spine Wolters Kluwer Medknow Publications, 2020 10(2022), 1, Seite 13-18 (DE-627)1695778367 26667150 nnns volume:10 year:2022 number:1 pages:13-18 https://doi.org/10.4103/JOASP.JOASP_16_22 kostenfrei https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 kostenfrei http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop kostenfrei https://doaj.org/toc/2666-7150 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 1 13-18
allfieldsSound	10.4103/JOASP.JOASP_16_22 doi (DE-627)DOAJ025057820 (DE-599)DOAJ87edbcdddb404fb1abf85c3e5a9b4484 DE-627 ger DE-627 rakwb eng RD701-811 Shakti Swaroop verfasserin aut Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future. outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery Shivji Prajapati verfasserin aut Smarajit Patnaik verfasserin aut Akshaya Sahoo verfasserin aut Swati Patnaik verfasserin aut In Journal of Orthopaedics and Spine Wolters Kluwer Medknow Publications, 2020 10(2022), 1, Seite 13-18 (DE-627)1695778367 26667150 nnns volume:10 year:2022 number:1 pages:13-18 https://doi.org/10.4103/JOASP.JOASP_16_22 kostenfrei https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 kostenfrei http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop kostenfrei https://doaj.org/toc/2666-7150 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022 1 13-18
language	English
source	In Journal of Orthopaedics and Spine 10(2022), 1, Seite 13-18 volume:10 year:2022 number:1 pages:13-18
sourceStr	In Journal of Orthopaedics and Spine 10(2022), 1, Seite 13-18 volume:10 year:2022 number:1 pages:13-18
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institution	findex.gbv.de
topic_facet	outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement Orthopedic surgery
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authorswithroles_txt_mv	Shakti Swaroop @@aut@@ Shivji Prajapati @@aut@@ Smarajit Patnaik @@aut@@ Akshaya Sahoo @@aut@@ Swati Patnaik @@aut@@
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Results of a randomized prospective trial</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. 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callnumber-first	R - Medicine
author	Shakti Swaroop
spellingShingle	Shakti Swaroop misc RD701-811 misc outerbridge grade 4 patellae misc patellar denervation misc patellar resurfacing misc primary total knee replacement misc Orthopedic surgery Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial
authorStr	Shakti Swaroop
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issn	26667150
topic_title	RD701-811 Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial outerbridge grade 4 patellae patellar denervation patellar resurfacing primary total knee replacement
topic	misc RD701-811 misc outerbridge grade 4 patellae misc patellar denervation misc patellar resurfacing misc primary total knee replacement misc Orthopedic surgery
topic_unstemmed	misc RD701-811 misc outerbridge grade 4 patellae misc patellar denervation misc patellar resurfacing misc primary total knee replacement misc Orthopedic surgery
topic_browse	misc RD701-811 misc outerbridge grade 4 patellae misc patellar denervation misc patellar resurfacing misc primary total knee replacement misc Orthopedic surgery
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title	Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial
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title_full	Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial
author_sort	Shakti Swaroop
journal	Journal of Orthopaedics and Spine
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author_browse	Shakti Swaroop Shivji Prajapati Smarajit Patnaik Akshaya Sahoo Swati Patnaik
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title_sort	does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? results of a randomized prospective trial
callnumber	RD701-811
title_auth	Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial
abstract	BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future.
abstractGer	BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future.
abstract_unstemmed	BACKGROUND: Complete cartilage loss and incomplete cartilage loss of the patella both have been reported to give good results with both resurfacing and nonresurfacing. We have tried to combine patellar denervation (PD) with the procedure and to compare the results of resurfacing or not resurfacing patella in posterior stabilized (PS) total knee arthroplasty (TKA). MATERIALS AND METHODS: A prospective single-center randomized prospective trial was done, including 68 patients undergoing unilateral TKA who were divided into patellar nonresurfacing (PNR) and patellar resurfacing (PR) groups. The patients underwent PS TKA. A blinded observer followed up the patients for 2 years, and visual analog scale at stairs (VAS-stairs), Knee Society Score (KSS), and range of motion were noted. RESULTS: The difference in VAS-stairs score from the baseline to the end of 1 month was significantly improved in the PR group, PNR = 4.4 ± 0.8 and PR = 5.5 ± 0.6, P = 0.0001. The difference in VAS-stairs score was significantly improved in the PR group again at 6 months, PNR = 5.9 ± 0.8 and PR = 7.1 ± 0.7, P = 0.0001. A comparison within the two groups at 1-month postop resulted in significantly better KSS 1 scores in the PR group (Chi-square value = 43.2, P < 0.001). When KSS 2 was compared between the two groups, we found no statistical significance in their preoperative scores and at postoperative time intervals of 1 month, 6 months, 1 year, and 2 years. CONCLUSIONS: Resurfacing patella with PD in an Outerbridge grade 4 patella yields better pain relief on stairs within the first 6 months. Also, resurfacing patella with PD in an Outerbridge grade 4 patella does not improve the functional outcomes at 2 years, and further long-term follow-up needs to be reported in the future.
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title_short	Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial
url	https://doi.org/10.4103/JOASP.JOASP_16_22 https://doaj.org/article/87edbcdddb404fb1abf85c3e5a9b4484 http://www.joas.org.in/article.asp?issn=2666-7150;year=2022;volume=10;issue=1;spage=13;epage=18;aulast=Swaroop https://doaj.org/toc/2666-7150
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author2	Shivji Prajapati Smarajit Patnaik Akshaya Sahoo Swati Patnaik
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up_date	2024-07-04T01:25:43.756Z
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Does a complete loss of articular cartilage of patella warrant a patellar resurfacing when combined with patellar denervation in primary total knee arthroplasty? Results of a randomized prospective trial

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