What can we expect from patellar denervation in knee arthroplasty? An updated systematic review and meta-analysis
Denervation by electrocauterization was proposed to be efficient in preventing anterior knee pain (AKP) following arthroplasty. The purpose of this study was to evaluate the effects of patellar denervation (PD) in primary knee arthroplasty. Systematic search was performed in PubMed, ScienceDirect, C...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-06-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Online Access: | https://doi.org/10.1177/22104917221150533 |
| _version_ | 1797771618784641024 |
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| author | I Wayan Suryanto Dusak Kartini Ciatawi I Wayan Subawa Putri Chairani Eyanoer |
| author_facet | I Wayan Suryanto Dusak Kartini Ciatawi I Wayan Subawa Putri Chairani Eyanoer |
| author_sort | I Wayan Suryanto Dusak |
| collection | DOAJ |
| description | Denervation by electrocauterization was proposed to be efficient in preventing anterior knee pain (AKP) following arthroplasty. The purpose of this study was to evaluate the effects of patellar denervation (PD) in primary knee arthroplasty. Systematic search was performed in PubMed, ScienceDirect, Cochrane Library, and ClinicalKey databases until July 2022 for published articles. The quantitative analyses were carried out by Review Manager 5.4 software. Twenty-one studies were included. Overall incidence of AKP, visual analog scale (VAS), and knee society score were significantly superior in PD group. Denervation also showed better outcomes in incidence of AKP at each follow-up time point, and in VAS and range of motion (ROM) at ≤3 months. Subanalyses based on depth of electrocautery showed statistically better results with 2–3 mm depth in VAS and PS compared to ≤1 mm. This study concluded that PD might contribute to lower incidence of knee pain. Patients who expect quicker recovery in pain and ROM may benefit from this procedure. |
| first_indexed | 2024-03-12T21:40:12Z |
| format | Article |
| id | doaj.art-2f18d211ba4a43e99f17a0722a6c8f5c |
| institution | Directory Open Access Journal |
| issn | 2210-4925 |
| language | English |
| last_indexed | 2024-03-12T21:40:12Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-2f18d211ba4a43e99f17a0722a6c8f5c2023-07-27T01:05:34ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49252023-06-013010.1177/22104917221150533What can we expect from patellar denervation in knee arthroplasty? An updated systematic review and meta-analysisI Wayan Suryanto Dusak0Kartini Ciatawi1 I Wayan Subawa2Putri Chairani Eyanoer3 Department of Orthopaedic and Traumatology, Faculty of Medicine, , Denpasar, Indonesia Faculty of Medicine, , Medan, Indonesia Department of Orthopaedic and Traumatology, Faculty of Medicine, , Denpasar, Indonesia Department of Community and Preventive Medicine, Faculty of Medicine, , Medan, IndonesiaDenervation by electrocauterization was proposed to be efficient in preventing anterior knee pain (AKP) following arthroplasty. The purpose of this study was to evaluate the effects of patellar denervation (PD) in primary knee arthroplasty. Systematic search was performed in PubMed, ScienceDirect, Cochrane Library, and ClinicalKey databases until July 2022 for published articles. The quantitative analyses were carried out by Review Manager 5.4 software. Twenty-one studies were included. Overall incidence of AKP, visual analog scale (VAS), and knee society score were significantly superior in PD group. Denervation also showed better outcomes in incidence of AKP at each follow-up time point, and in VAS and range of motion (ROM) at ≤3 months. Subanalyses based on depth of electrocautery showed statistically better results with 2–3 mm depth in VAS and PS compared to ≤1 mm. This study concluded that PD might contribute to lower incidence of knee pain. Patients who expect quicker recovery in pain and ROM may benefit from this procedure.https://doi.org/10.1177/22104917221150533 |
| spellingShingle | I Wayan Suryanto Dusak Kartini Ciatawi I Wayan Subawa Putri Chairani Eyanoer What can we expect from patellar denervation in knee arthroplasty? An updated systematic review and meta-analysis Journal of Orthopaedics, Trauma and Rehabilitation |
| title | What can we expect from patellar denervation in knee arthroplasty? An updated systematic review
and meta-analysis |
| title_full | What can we expect from patellar denervation in knee arthroplasty? An updated systematic review
and meta-analysis |
| title_fullStr | What can we expect from patellar denervation in knee arthroplasty? An updated systematic review
and meta-analysis |
| title_full_unstemmed | What can we expect from patellar denervation in knee arthroplasty? An updated systematic review
and meta-analysis |
| title_short | What can we expect from patellar denervation in knee arthroplasty? An updated systematic review
and meta-analysis |
| title_sort | what can we expect from patellar denervation in knee arthroplasty an updated systematic review and meta analysis |
| url | https://doi.org/10.1177/22104917221150533 |
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