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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 6/2015

01-06-2015 | Knee

Comparison of patellar resurfacing versus preservation in high flexion total knee arthroplasty

Authors: Seong Hwan Kim, Sahnghoon Lee, Du Hyun Ro, Yool Cho, Young Min Lee, Kee Yun Chung, Myung Chul Lee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2015

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Abstract

Purpose

Recently, high flexion design total knee arthroplasty (TKA) has been introduced to improve clinical outcomes. The purpose of this study is to compare the midterm outcomes between patellar resurfacing (PR) and patellar preservation (PP) in high flexion TKA.

Methods

A total of 373 knees of primary TKAs were performed using high flexion design, 339 knees involved PR group and 34 knees involved PP group. After applying exclusion criteria, 1:3 matching was performed by the matching criteria. After matching, 69 knees in PR group and 23 knees in PP group remained. Radiographic outcomes, clinical outcomes, patients’ satisfaction, ability and pain related to the high flexion activities were also evaluated.

Results

There was no significant difference in radiograph measurements, KS function score and WOMAC score (n.s). However, PR group showed better outcomes in KS knee score (P = 0.001) and HSS score (P = 0.03). There was no significant difference in postoperative satisfaction and ability of high flexion activities between the groups, but the pain at the high flexion activities in PP group was worse than that in PR group.

Conclusion

In high flexion design of TKA, PR resulted in better midterm outcomes in regard to KS knee score, HSS score and knee pain related to the high flexion activities. The selective PR is recommended when performing primary TKA with high flexion design.

Level of evidence

IV.
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Metadata
Title
Comparison of patellar resurfacing versus preservation in high flexion total knee arthroplasty
Authors
Seong Hwan Kim
Sahnghoon Lee
Du Hyun Ro
Yool Cho
Young Min Lee
Kee Yun Chung
Myung Chul Lee
Publication date
01-06-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-3278-9

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