Early PROMs Following Total Knee Arthroplasty-Functional Outcome Dependent on Patella Resurfacing

被引:17
作者
Baker, Paul N. [1 ,2 ,3 ]
Petheram, Timothy [3 ]
Dowen, Daniel [3 ]
Jameson, Simon S. [1 ,3 ]
Avery, Peter J. [4 ]
Reed, Mike R. [5 ]
Deehan, David J. [6 ]
机构
[1] Natl Joint Registry England & Wales, London, England
[2] Newcastle Univ, Inst Cellular Med, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
[3] Northern Deanery Training Programme, Newcastle Upon Tyne, Tyne & Wear, England
[4] Newcastle Univ, Sch Math & Stat, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
[5] James Cook Univ Hosp, South Tees Hosp NHS Fdn Trust, Middlesbrough, Cleveland, England
[6] Freeman Rd Hosp, Newcastle Upon Tyne NHS Trust, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England
关键词
PROMs; total knee arthroplasty; patella resurfacing; FEMORAL COMPONENT; UNRESURFACED PATELLA; PATELLOFEMORAL JOINT; REPLACEMENT; RETENTION; TRIAL; METAANALYSIS; CONTACT; FAILURE; DESIGN;
D O I
10.1016/j.arth.2013.05.001
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Patella resurfacing during primary total knee arthroplasty (TKA) remains controversial. Variation in published results for patella resurfacing may potentially be explained by differences in design between TKA brands. We interrogated NJR-PROMs data to ascertain whether there is an early functional benefit to resurfacing the patella, both overall and for each of the five most popular primary knee designs through use of the Oxford Knee Score. A total of 8103 resurfaced TKAs and 15,290 nonresurfaced TKAs were studied. There was a large variation in the proportion of knees undergoing patella resurfacing by brand (Nexgen = 16% versus Triathlon = 52%). Patellar resurfacing did not significantly influence the magnitude of improvement in overall knee function or anterior knee-specific function irrespective of TKA brand or for cruciate retaining versus sacrificing designs. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:314 / 319
页数:6
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