Document Detail


The consequences of not resurfacing the patella.
MedLine Citation:
PMID:  15534538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The decision of whether to resurface the patella during total knee arthroplasty remains controversial. In this study, a meta-analysis of national joint replacement registry data, bilateral total knee replacement studies, selective resurfacing reports, and randomized clinical trials was done Although the evidence seems to support patellar resurfacing, this issue remains inconclusive because of problems generalizing from one implant to another and the short-term nature of available studies. Based on existing data, patellar resurfacing seems reasonable in most total knee replacements. Not resurfacing the patella might be considered in selected younger patients (<60 years) with mild or no patellar arthritis, a well-tracking extensor mechanism, and particularly if a patella-friendly femoral component is used.
Authors:
Robert B Bourne; R Stephen J Burnett
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Publication Detail:
Type:  Journal Article; Meta-Analysis    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-09     Completed Date:  2005-02-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-9     Citation Subset:  AIM; IM    
Affiliation:
London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada. robert.bourne@lhsc.on.ca
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Knee / methods*
Humans
Patella*
Patient Satisfaction
Randomized Controlled Trials as Topic
Registries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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