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Knee Surgery, Sports Traumatology, Arthroscopy

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01-03-2014 | Knee

Determinants of anterior knee pain following total knee replacement: a systematic review

Authors: Hans-Peter W. van Jonbergen, Joost M. Reuver, Eduard L. Mutsaerts, Rudolf W. Poolman

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2014

Abstract

Purpose

Anterior 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.

Methods

A 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.

Results

A 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.

Conclusions

No 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.

Aglietti P, Baldini A, Buzzi R, Lup D, De Luca L (2005) Comparison of mobile-bearing and fixed-bearing total knee arthroplasty: a prospective randomized study. J Arthroplasty 20:145–153PubMedCrossRef

Arbuthnot JE, McNicholas MJ, McGurty DW, Rowley DI (2004) Total knee replacement and patellofemoral pain. Surgeon 2:230–233PubMedCrossRef

Baker PN, van der Meulen JH, Lewsey J, Gregg PJ (2007) The role of pain and function in determining patient satisfaction after total knee replacement. Data from the National Joint Registry for England and Wales. J Bone Joint Surg (Br) 89:893–900CrossRef

Barrack RL, Bertot AJ, Wolfe MW, Waldman DA, Milicic M, Myers L (2001) Patellar resurfacing in total knee arthroplasty. A prospective, randomized, double-blind study with five to seven years of follow-up. J Bone Joint Surg (Am) 83:1376–1381

Barrack RL, Schrader T, Bertot AJ, Wolfe MW, Myers L (2001) Component rotation and anterior knee pain after total knee arthroplasty. Clin Orthop Relat Res 392:46–55PubMedCrossRef

Barrack RL, Wolfe MW, Waldman DA, Milicic M, Bertot AJ, Myers L (1997) Resurfacing of the patella in total knee arthroplasty. A prospective, randomized, double-blind study. J Bone Joint Surg (Am) 79:1121–1131

Bhan S, Malhotra R, Eachempati KK (2006) Total knee arthroplasty without patellar resurfacing in patients with rheumatoid arthritis. Clin Orthop Relat Res 450:157–163PubMedCrossRef

Biau D, Mullins MM, Judet T, Piriou P (2006) Mobile versus fixed-bearing total knee arthroplasty: mid-term comparative clinical results of 216 prostheses. Knee Surg Sports Traumatol Arthrosc 14:927–933PubMedCrossRef

Bonnin MP, Basiglini L, Archbold HA (2011) What are the factors of residual pain after uncomplicated TKA? Knee Surg Sports Traumatol Arthrosc 19:1411–1417PubMedCrossRef

10.

Brander VA, Stulberg SD, Adams AD, Harden RN, Bruehl S, Stanos SP, Houle T (2003) Predicting total knee replacement pain: a prospective, observational study. Clin Orthop Relat Res 416:27–36PubMedCrossRef

11.

Breugem SJ, Sierevelt IN, Schafroth MU, Blankevoort L, Schaap GR, van Dijk CN (2008) Less anterior knee pain with a mobile-bearing prosthesis compared with a fixed-bearing prosthesis. Clin Orthop Relat Res 466:1959–1965PubMedCrossRef

12.

Burnett RS, Boone JL, McCarthy KP, Rosenzweig S, Barrack RL (2007) A prospective randomized clinical trial of patellar resurfacing and nonresurfacing in bilateral TKA. Clin Orthop Relat Res 464:65–72PubMed

13.

Burnett RS, Boone JL, Rosenzweig SD, Steger-May K, Barrack RL (2009) Patellar resurfacing compared with nonresurfacing in total knee arthroplasty. A concise follow-up of a randomized trial. J Bone Joint Surg (Am) 91:2562–2567CrossRef

14.

Burnett RS, Haydon CM, Rorabeck CH, Bourne RB (2004) Patella resurfacing versus nonresurfacing in total knee arthroplasty: results of a randomized controlled clinical trial at a minimum of 10 years’ followup. Clin Orthop Relat Res 428:12–25PubMedCrossRef

15.

Campbell DG, Duncan WW, Ashworth M, Mintz A, Stirling J, Wakefield L, Stevenson TM (2006) Patellar resurfacing in total knee replacement: a ten-year randomised prospective trial. J Bone Joint Surg (Br) 88:734–739CrossRef

16.

Erak S, Rajgopal V, Macdonald SJ, McCalden RW, Bourne RB (2009) Ten-year results of an inset biconvex patella prosthesis in primary knee arthroplasty. Clin Orthop Relat Res 467:1781–1792PubMedCrossRef

17.

Fern ED, Winson IG, Getty CJ (1992) Anterior knee pain in rheumatoid patients after total knee replacement. Possible selection criteria for patellar resurfacing. J Bone Joint Surg (Br) 74:745–748

18.

Figgie HE, Goldberg VM, Heiple KG, Moller HS III, Gordon NH (1986) The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis. J Bone Joint Surg (Am) 68:1035–1040

19.

Fu Y, Wang G, Fu Q (2011) Patellar resurfacing in total knee arthroplasty for osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 19:1460–1466PubMedCrossRef

20.

Gildone A, Manfredini M, Biscione R, Faccini R (2005) Patella resurfacing in posterior stabilised total knee arthroplasty: a follow-up study in 56 patients. Acta Orthop Belg 71:445–451PubMed

21.

Guyatt GH, Oxman AD, Kunz R, Falck-Ytter Y, Vist GE, Liberati A, Schunemann HJ (2008) Going from evidence to recommendations. BMJ 336:1049–1051PubMedCrossRef

22.

He JY, Jiang LS, Dai LY (2011) Is patellar resurfacing superior than nonresurfacing in total knee arthroplasty? A meta-analysis of randomized trials. Knee 18:137–144PubMedCrossRef

23.

Keblish PA, Varma AK, Greenwald AS (1994) Patellar resurfacing or retention in total knee arthroplasty. A prospective study of patients with bilateral replacements. J Bone Joint Surg (Br) 76:930–937

24.

Kim BS, Reitman RD, Schai PA, Scott RD (1999) Selective patellar nonresurfacing in total knee arthroplasty. 10 year results. Clin Orthop Relat Res 367:81–88PubMedCrossRef

25.

Koh JS, Yeo SJ, Lee BP, Lo NN, Seow KH, Tan SK (2002) Influence of patellar thickness on results of total knee arthroplasty: does a residual bony patellar thickness of <12 mm lead to poorer clinical outcome and increased complication rates? J Arthroplasty 17:56–61PubMedCrossRef

26.

Lädermann A, Saudan M, Riand N, Fritschy D (2008) Prothèse totale du genou: étude prospective randomisée comparant les plateaux tibiaux fixes et mobiles. Rev Chir Orthop 94:247–251PubMed

27.

Larson CM, McDowell CM, Lachiewicz PF (2001) One-peg versus three-peg patella component fixation in total knee arthroplasty. Clin Orthop Relat Res 392:94–100PubMedCrossRef

28.

Laskin RS, Maruyama Y, Villaneuva M, Bourne R (2000) Deep-dish congruent tibial component use in total knee arthroplasty: a randomized prospective study. Clin Orthop Relat Res 380:36–44PubMedCrossRef

29.

Li S, Chen Y, Su W, Zhao J, He S, Luo X (2011) Systematic review of patellar resurfacing in total knee arthroplasty. Int Orthop 35:305–316PubMedCentralPubMedCrossRef

30.

Liu ZT, Fu PL, Wu HS, Zhu Y (2011) Patellar reshaping versus resurfacing in total knee arthroplasty—results of a randomized prospective trial at a minimum of 7 years’ follow-up. Knee 19:198–202PubMedCrossRef

31.

Maculé F, Sastre S, Lasurt S, Sala P, Segur JM, Mallofre C (2005) Hoffa’s fat pad resection in total knee arthroplasty. Acta Orthop Belg 71:714–717PubMed

32.

Mahoney OM, McClung CD, dela Rosa MA, Schmalzried TP (2002) The effect of total knee arthroplasty design on extensor mechanism function. J Arthroplasty 17:416–421PubMedCrossRef

33.

Martin A, von Strempel A (2006) Two-year outcomes of computed tomography-based and computed tomography free navigation for total knee arthroplasties. Clin Orthop Relat Res 449:275–282PubMed

34.

McCalden RW, MacDonald SJ, Bourne RB, Marr JT (2009) A randomized controlled trial comparing “high-flex” vs “standard” posterior cruciate substituting polyethylene tibial inserts in total knee arthroplasty. J Arthroplasty 24:33–38PubMedCrossRef

35.

Meftah M, Ranawat AS, Ranawat CS (2011) The natural history of anterior knee pain in 2 posterior-stabilized, modular total knee arthroplasty designs. J Arthroplasty 26:1145–1148PubMedCrossRef

36.

Misra AN, Smith RB, Fiddian NJ (2003) Five year results of selective patellar resurfacing in cruciate sparing total knee replacements. Knee 10:199–203PubMedCrossRef

37.

Nebelung W, Awiszus F, Mahlfeld K, Neumann HW (1995) Beeinflussen Patellahochstand, Patellaventralisation und Patellalateralisation das patellare Schmerzsyndrom nach Implantation von GSB-Totalendoprothesen? Z Orthop Ihre Grenzgeb 133:535–538PubMedCrossRef

38.

Newman JH, Ackroyd CE, Shah NA, Karachalios T (2000) Should the patella be resurfaced during total knee replacement? Knee 7:17–23CrossRef

39.

Nizard RS, Biau D, Porcher R, Ravaud P, Bizot P, Hannouche D, Sedel L (2005) A meta-analysis of patellar replacement in total knee arthroplasty. Clin Orthop Relat Res 432:196–203PubMedCrossRef

40.

Oh IS, Lee TJ, Lee WC, Lee SH (2010) Effect of degenerative changes of unresurfaced patella on pain and range of motion in total knee arthroplasty. Curr Orthop Practice 21:586–590CrossRef

41.

Oh KJ, Goodman SB, Yang JH (2011) Prospective, randomized study between Insall-Burstein II and NexGen Legacy with a minimum 9-year follow-up. J Arthroplasty 26:1232–1238PubMedCrossRef

42.

Pakos EE, Ntzani EE, Trikalinos TA (2005) Patellar resurfacing in total knee arthroplasty. A meta-analysis. J Bone Joint Surg (Am) 87:1438–1445CrossRef

43.

Partio E, Wirta J (1995) Comparison of patellar resurfacing and nonresurfacing in total knee arthroplasty: a prospective randomized study. J Orthop Rheumatology 8:69–74

44.

Parvizi J, Rapuri VR, Saleh KJ, Kuskowski MA, Sharkey PF, Mont MA (2005) Failure to resurface the patella during total knee arthroplasty may result in more knee pain and secondary surgery. Clin Orthop Relat Res 438:191–196PubMedCrossRef

45.

Patel K, Raut V (2011) Patella in total knee arthroplasty: to resurface or not to. A cohort study of staged bilateral total knee arthroplasty. Int Orthop 35:349–353PubMedCentralPubMedCrossRef

46.

Pavlou G, Meyer C, Leonidou A, As-Sultany M, West R, Tsiridis E (2011) Patellar resurfacing in total knee arthroplasty: does design matter? A meta-analysis of 7075 cases. J Bone Joint Surg (Am) 93:1301–1309CrossRef

47.

Pellengahr C, Maier M, Muller PE, Durr HR, Schulz CU, Zysk S, Trouillier H, Lindhorst E, Jansson V, Refior HJ (2002) Surgical and anatomic parameters influencing femoropatellar pain in total knee arthroplasty. Eur J Trauma 28:242–246CrossRef

48.

Peng CW, Tay BK, Lee BP (2003) Prospective trial of resurfaced patella versus non-resurfaced patella in simultaneous bilateral total knee replacement. Singapore Med J 44:347–351PubMed

49.

Petrisor BA, Keating J, Schemitsch E (2006) Grading the evidence: levels of evidence and grades of recommendation. Injury 37:321–327PubMedCrossRef

50.

Picetti GD III, McGann WA, Welch RB (1990) The patellofemoral joint after total knee arthroplasty without patellar resurfacing. J Bone Joint Surg (Am) 72:1379–1382

51.

Rodriguez-Merchan EC, Gomez-Cardero P (2010) The outerbridge classification predicts the need for patellar resurfacing in TKA. Clin Orthop Relat Res 468:1254–1257PubMedCrossRef

52.

Scott CE, Howie CR, MacDonald D, Biant LC (2010) Predicting dissatisfaction following total knee replacement: a prospective study of 1217 patients. J Bone Joint Surg (Br) 92:1253–1258CrossRef

53.

Seil R, Pape D (2011) Causes of failure and etiology of painful primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 19:1418–1432PubMedCrossRef

54.

Smith AJ, Lloyd DG, Wood DJ (2004) Pre-surgery knee joint loading patterns during walking predict the presence and severity of anterior knee pain after total knee arthroplasty. J Orthop Res 22:260–266PubMedCrossRef

55.

Smith AJ, Wood DJ, Li MG (2008) Total knee replacement with and without patellar resurfacing: a prospective, randomised trial using the profix total knee system. J Bone Joint Surg (Br) 90:43–49CrossRef

56.

Spencer JM, Chauhan SK, Sloan K, Taylor A, Beaver RJ (2007) Computer navigation versus conventional total knee replacement: no difference in functional results at two years. J Bone Joint Surg (Br) 89:477–480CrossRef

57.

Title CI, Rodriguez JA, Ranawat CS (2001) Posterior cruciate-sacrificing versus posterior cruciate-substituting total knee arthroplasty: a study of clinical and functional outcomes in matched patients. J Arthroplasty 16:409–414PubMedCrossRef

58.

van Jonbergen HP, Scholtes VA, van Kampen A, Poolman RW (2011) A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing. J Bone Joint Surg (Br) 93:1054–1059CrossRef

59.

Waikakul S, Vanadurongwan V, Bintachitt P (2000) The effects of patellar resurfacing in total knee arthroplasty on position sense: a prospective randomized study. J Med Assoc Thai 83:975–982PubMed

60.

Waters TS, Bentley G (2003) Patellar resurfacing in total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg (Am) 85:212–217

61.

Wood DJ, Smith AJ, Collopy D, White B, Brankov B, Bulsara MK (2002) Patellar resurfacing in total knee arthroplasty: a prospective, randomized trial. J Bone Joint Surg (Am) 84:187–193

Title: Determinants of anterior knee pain following total knee replacement: a systematic review
Authors: Hans-Peter W. van Jonbergen
Joost M. Reuver
Eduard L. Mutsaerts
Rudolf W. Poolman
Publication date: 01-03-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2294-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Determinants of anterior knee pain following total knee replacement: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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