Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study
Abstract Purpose The aim of this study was to investigate whether the degree of patellar cartilage loss confirmed during index surgery affects the clinical and radiologic outcomes of total knee arthroplasty (TKA) performed without patellar resurfacing. Methods We prospectively divided 2012 patients...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Knee Surgery & Related Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43019-022-00161-3 |
| _version_ | 1818510069761835008 |
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| author | Oog-Jin Shon Gi Beom Kim |
| author_facet | Oog-Jin Shon Gi Beom Kim |
| author_sort | Oog-Jin Shon |
| collection | DOAJ |
| description | Abstract Purpose The aim of this study was to investigate whether the degree of patellar cartilage loss confirmed during index surgery affects the clinical and radiologic outcomes of total knee arthroplasty (TKA) performed without patellar resurfacing. Methods We prospectively divided 2012 patients with a minimum follow-up of 12 months into two groups according to intraoperatively graded cartilage lesions graded using the International Cartilage Repair Society (ICRS) system: group 1, grades 0‒2 (n = 110); group 2, grades 3‒4 (n = 102). Relevant locations, such as medial, lateral, or both facets of the patella, were also assessed. Clinical outcomes were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index, Feller’s patella score, and Kujala anterior knee pain score. Radiographic outcomes included patellar tilt angle and lateral patellar shift on Merchant’s view. Results Clinical and radiographic outcomes were not significantly different between the two groups. No patient underwent secondary patellar resurfacing. Although the lateral facet was significantly more involved, there were no significant differences in outcomes. Conclusions The degree of intraoperatively identified patellar cartilage loss did not affect the short-term outcomes following primary TKA without patellar resurfacing. Level of evidence II: Prospective comparative study. |
| first_indexed | 2024-12-10T22:54:13Z |
| format | Article |
| id | doaj.art-2add1685dc0747319de50dc3d93e8742 |
| institution | Directory Open Access Journal |
| issn | 2234-2451 |
| language | English |
| last_indexed | 2024-12-10T22:54:13Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Knee Surgery & Related Research |
| spelling | doaj.art-2add1685dc0747319de50dc3d93e87422022-12-22T01:30:18ZengBMCKnee Surgery & Related Research2234-24512022-07-013411910.1186/s43019-022-00161-3Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort studyOog-Jin Shon0Gi Beom Kim1Department of Orthopedic Surgery, Yeungnam University College of Medicine, Yeungnam University Medical CenterDepartment of Orthopedic Surgery, Yeungnam University College of Medicine, Yeungnam University Medical CenterAbstract Purpose The aim of this study was to investigate whether the degree of patellar cartilage loss confirmed during index surgery affects the clinical and radiologic outcomes of total knee arthroplasty (TKA) performed without patellar resurfacing. Methods We prospectively divided 2012 patients with a minimum follow-up of 12 months into two groups according to intraoperatively graded cartilage lesions graded using the International Cartilage Repair Society (ICRS) system: group 1, grades 0‒2 (n = 110); group 2, grades 3‒4 (n = 102). Relevant locations, such as medial, lateral, or both facets of the patella, were also assessed. Clinical outcomes were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index, Feller’s patella score, and Kujala anterior knee pain score. Radiographic outcomes included patellar tilt angle and lateral patellar shift on Merchant’s view. Results Clinical and radiographic outcomes were not significantly different between the two groups. No patient underwent secondary patellar resurfacing. Although the lateral facet was significantly more involved, there were no significant differences in outcomes. Conclusions The degree of intraoperatively identified patellar cartilage loss did not affect the short-term outcomes following primary TKA without patellar resurfacing. Level of evidence II: Prospective comparative study.https://doi.org/10.1186/s43019-022-00161-3KneeTotal knee arthroplastyPatellar resurfacingPatellar retention |
| spellingShingle | Oog-Jin Shon Gi Beom Kim Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study Knee Surgery & Related Research Knee Total knee arthroplasty Patellar resurfacing Patellar retention |
| title | Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study |
| title_full | Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study |
| title_fullStr | Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study |
| title_full_unstemmed | Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study |
| title_short | Does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing? A prospective comparative cohort study |
| title_sort | does the degree of intraoperatively identified cartilage loss affect the outcomes of primary total knee arthroplasty without patella resurfacing a prospective comparative cohort study |
| topic | Knee Total knee arthroplasty Patellar resurfacing Patellar retention |
| url | https://doi.org/10.1186/s43019-022-00161-3 |
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