REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY

ABSTRACT Objective This study addresses functional data, pain, and the reoperation rate in patients undergoing primary total knee arthroplasty (TKA) during which the patella was or was not replaced. Methods Fifty-three knees were included, 18 with the patella replaced and 35 with the patella not...

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Main Authors: RAFAEL ALUISIO FENERICH HONORIO FERREIRA, LEONARDO BARROS MASCARENHAS, RODRIGO SALIM, ALINE MIRANDA FERREIRA, FABRÍCIO FOGAGNOLO, MAURÍCIO KFURI JUNIOR
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2018-06-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300175&tlng=en
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author RAFAEL ALUISIO FENERICH HONORIO FERREIRA
LEONARDO BARROS MASCARENHAS
RODRIGO SALIM
ALINE MIRANDA FERREIRA
FABRÍCIO FOGAGNOLO
MAURÍCIO KFURI JUNIOR
author_facet RAFAEL ALUISIO FENERICH HONORIO FERREIRA
LEONARDO BARROS MASCARENHAS
RODRIGO SALIM
ALINE MIRANDA FERREIRA
FABRÍCIO FOGAGNOLO
MAURÍCIO KFURI JUNIOR
author_sort RAFAEL ALUISIO FENERICH HONORIO FERREIRA
collection DOAJ
description ABSTRACT Objective This study addresses functional data, pain, and the reoperation rate in patients undergoing primary total knee arthroplasty (TKA) during which the patella was or was not replaced. Methods Fifty-three knees were included, 18 with the patella replaced and 35 with the patella not replaced. WOMAC and SF-12 scores and knee pain were analyzed preoperatively and 3, 6, and 12 months after TKA. The reoperation rate was also evaluated. Results Both groups presented significant improvement in WOMAC score and pain at all postoperative follow-up appointments. There was no significant difference between the groups in all evaluated variables. Two subjects in the group did not undergo patellar replacement due to complaints of anterior knee pain after arthroplasty. There was no difference between the groups in relation to the reoperation rate. Conclusion Patients receiving patellar replacement during TKA did exhibit significant differences in the rate of reoperation, function, or pain when compared to patients in which the patella was replaced. Level of Evidence III; Cohort study.
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spelling doaj.art-575b529d5fe74b01bbf13fc1303c51f92022-12-22T04:16:12ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522018-06-0126317517810.1590/1413-785220182603185026REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTYRAFAEL ALUISIO FENERICH HONORIO FERREIRALEONARDO BARROS MASCARENHASRODRIGO SALIMALINE MIRANDA FERREIRAFABRÍCIO FOGAGNOLOMAURÍCIO KFURI JUNIORABSTRACT Objective This study addresses functional data, pain, and the reoperation rate in patients undergoing primary total knee arthroplasty (TKA) during which the patella was or was not replaced. Methods Fifty-three knees were included, 18 with the patella replaced and 35 with the patella not replaced. WOMAC and SF-12 scores and knee pain were analyzed preoperatively and 3, 6, and 12 months after TKA. The reoperation rate was also evaluated. Results Both groups presented significant improvement in WOMAC score and pain at all postoperative follow-up appointments. There was no significant difference between the groups in all evaluated variables. Two subjects in the group did not undergo patellar replacement due to complaints of anterior knee pain after arthroplasty. There was no difference between the groups in relation to the reoperation rate. Conclusion Patients receiving patellar replacement during TKA did exhibit significant differences in the rate of reoperation, function, or pain when compared to patients in which the patella was replaced. Level of Evidence III; Cohort study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300175&tlng=enArthroplastyKneePatella
spellingShingle RAFAEL ALUISIO FENERICH HONORIO FERREIRA
LEONARDO BARROS MASCARENHAS
RODRIGO SALIM
ALINE MIRANDA FERREIRA
FABRÍCIO FOGAGNOLO
MAURÍCIO KFURI JUNIOR
REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
Acta Ortopédica Brasileira
Arthroplasty
Knee
Patella
title REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
title_full REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
title_fullStr REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
title_full_unstemmed REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
title_short REPLACEMENT VERSUS NON-REPLACEMENT OF THE PATELLAR JOINT SURFACE IN TOTAL KNEE ARTHROPLASTY
title_sort replacement versus non replacement of the patellar joint surface in total knee arthroplasty
topic Arthroplasty
Knee
Patella
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522018000300175&tlng=en
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