MANAGEMENT OF THE PATELLA DURING TOTAL KNEE ARTHROPLASTY

被引:0
|
作者
Held, Michael B. [1 ]
Gazgalis, Anastasia [1 ]
Sarpong, Nana O. [1 ]
Geller, Jeffrey A. [1 ]
Shah, Roshan P. [1 ]
Cooper, H. John [1 ]
机构
[1] Columbia Univ, Dept Orthopaed Surg, Med Ctr, New York, NY 10027 USA
关键词
PATELLOFEMORAL JOINT; METAANALYSIS; REPLACEMENT; DENERVATION; PAIN; KINEMATICS; COMPONENT; FAILURE; ELECTROCAUTERY; THICKNESS;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
>> The optimal management of the patella during total knee arthroplasty (TKA) remains a controversial topic with no consensus. >> Patellar management techniques during TKA include patellar retention or resurfacing with or without patellaplasty, as well as circumferential denervation and partial lateral facetectomy (PLF). >> Special considerations such as patient age, etiology of disease, implant design, and surgeon preference should be accounted for when determining optimal management. >> We recommend that most patellae be circumferentially denervated, regardless of whether they are resurfaced, as the potential benefits outweigh the small associated risks. >> Evidence demonstrates improved functional outcomes with the addition of PLF to nonresurfaced patellae. There is currently a paucity of evidence of this technique with respect to resurfaced patellae. >> Patellar resurfacing adds additional costs and health-care resources that should be considered in the decision-making process.
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页数:10
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