Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Reviews in Musculoskeletal Medicine
Erschienen in: Current Reviews in Musculoskeletal Medicine 2/2014

01.06.2014 | TKA Symposium (P Sancheti, Section Editor)

The patella in total knee arthroplasty: to resurface or not is the question

verfasst von: Matthew P. Abdel, Sébastien Parratte, Nicolaas C. Budhiparama

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

The decision to resurface the patella during total knee arthroplasty remains controversial. Even though some surgeons routinely resurface the patella to avoid the increased rates of postoperative anterior knee pain and reoperation for secondary resurfacing, others selectively resurface based on the presence of anterior knee pain, notably damaged articular cartilage, inflammatory arthritis, isolated patellofemoral arthritis, and patellar subluxation and maltracking. The anatomy and biomechanics of the patellofemoral joint, combined with advances in surgical technique and prostheses must be taken into account when making a decision to resurface the patella. Accurate component implantation is imperative for a successful outcome if the patella is resurfaced.
Literatur
1.
Barrack RL, Wolfe MW. Patellar resurfacing in total knee arthroplasty. J Am Acad Orthop Surg. 2000;8:75–82.PubMed
2.
Dennis DA. Isolated patellofemoral arthritis. Orthopedics. 1995;18:893–5.PubMed
3.
Healy WL, Wasilewski SA, Takei R, Oberlander M. Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors. J Arthroplasty. 1995;10:197–201.PubMedCrossRef
4.
Castro Jr FP, Chimento G, Munn BG, Levy RS, Timon S, Barrack RL. An analysis of Food and Drug Administration medical device reports relating to total joint components. J Arthroplasty. 1997;12:765–71.PubMedCrossRef
5.
Mochizuki RM, Schurman DJ. Patellar complications following total knee arthroplasty. J Bone Joint Surg Am. 1979;61:879–83.PubMed
6.
Budhiparama NC. The patella in total knee arthroplasty. In: Tanavalee A, Mow CS, Abbas AA, Azores GMS, Budhiparama NC, Lo NN, editors. ASEAN Arthroplasty Association (AAA) Comprehensive Hip & Knee Textbook. 1. Bangkok: Holistic Publishing Co., Ltd.; 2013. pp. 98–124.
7.
Parvizi J, Rapuri VR, Saleh KJ, Kuskowski MA, Sharkey PF, Mont MA. Failure to resurface the patella during total knee arthroplasty may result in more knee pain and secondary surgery. Clin Orthop Relat Res. 2005;438:191–6.PubMedCrossRef
8.•
Vielgut I, Kastner N, Pichler K, Holzer L, Glehr M, Gruber G, et al. Application and surgical technique of total knee arthroplasties: a systematic comparative analysis using worldwide registers. Int Orthop. 2013;37:1465–9. This paper showed that a systematic analysis of worldwide national registries revealed large differences in surgical techniques used in TKA procedures. These variations may be because of patient demographics, healthcare systems, and surgeon dependent factors such as education, tradition, experience, and definition of indications for resurfacing. PubMedCrossRef
9.
Nizard RS, Biau D, Porcher R, Ravaud P, Bizot P, Hannouche D, et al. Meta-analysis of patellar replacement in total knee arthroplasty. Clin Orthop Relat Res. 2005;432:196–203.PubMedCrossRef
10.
Pakos EE, Ntzani EE, Trikalinos TA. Patellar resurfacing in total knee arthroplasty. A meta-analysis. J Bone Joint Surg Am. 2005;87:1438–45.PubMedCrossRef
11.
He JY, Jiang LS, Dai LY. Is patellar resurfacing superior than nonresurfacing in total knee arthroplasty? A meta-analysis of randomized trials. Knee. 2011;18:137–44.PubMedCrossRef
12.
Li S, Chen Y, Su W, Zhao J, He S, Luo X. Systematic review of patellar resurfacing in total knee arthroplasty. Int Orthop. 2011;35–3:305–16.CrossRef
13.•
Pavlou G, Meyer C, Leonidou A, As-Sultany M, West R, Tsiridis E. Patellar resurfacing in total knee arthroplasty: does design matter? A meta-analysis of 7075 cases. J Bone Joint Surg Am. 2011;93–14:1301–9. In this meta-analysis of 7075 cases, the authors found no significant differences between resurfacing and nonresurfacing group in terms of incidence of anterior knee pain. Analysis of homogenous data comparing patella friendly and nonpatella friendly also demonstrated no difference in incidence of reoperations. This suggests that neither patella resurfacing nor prosthetic design affects the clinical outcome of TKA. A higher incidence of reoperation in the nonresurfaced group may be attributed to the fact that secondary resurfacing adds a surgical option in the treatment of AKP, therefore, artificially increasing the rate of reoperation to nonresurfaced group.
14.•
Pilling RW, Moulder E, Allgar V, Messner J, Sun Z, Mohsen A. Patellar resurfacing in primary total knee replacement: a meta-analysis. J Bone Joint Surg Am. 2012;94–24:2270–8. In this meta-analysis of randomized controlled trials, the authors found that unresurfaced patellae had a statistically higher rate of patellofemoral complications, reoperation because of anterior knee pain, and reoperation because of any patellofemoral complication. In addition, patients with unresurfaced patellae had statistically lower Knee Society knee component scores.CrossRef
15.
Briard JL, Hungerford DS. Patellofemoral instability in total knee arthroplasty. J Arthroplasty. 1989;4(Suppl):S87–97.PubMedCrossRef
16.
Berger RA, Crossett LS, Jacobs JJ, Rubash HE. Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop Relat Res. 1998;356:144–53.PubMedCrossRef
17.
Rhoads DD, Noble PC, Reuben JD, Mahoney OM, Tullos HS. The effect of femoral component position on patellar tracking after total knee arthroplasty. Clin Orthop Relat Res. 1990;260:43–51.PubMed
18.
Anouchi YS, Whiteside LA, Kaiser AD, Milliano MT. The effects of axial rotational alignment of the femoral component on knee stability and patellar tracking in total knee arthroplasty demonstrated on autopsy specimens. Clin Orthop Relat Res. 1993;287:170–7.PubMed
19.
Rhoads DD, Noble PC, Reuben JD, Tullos HS. The effect of femoral component position on the kinematics of total knee arthroplasty. Clin Orthop Relat Res. 1993;286:122–9.PubMed
20.
Merkow RL, Soudry M, Insall JN. Patellar dislocation following total knee replacement. J Bone Joint Surg Am. 1985;67:1321–7.PubMed
21.
Beight JL, Yao B, Hozack WJ, Hearn SL, Booth Jr RE. The patellar "clunk" syndrome after posterior stabilized total knee arthroplasty. Clin Orthop Relat Res. 1994;299:139–42.PubMed
22.
Ranawat CS. The patellofemoral joint in total condylar knee arthroplasty. Pros and cons based on five- to ten-year follow-up observations. Clin Orthop Relat Res. 1986;205:93–9.PubMed
23.
Figgie III HE, Goldberg VM, Figgie MP, Inglis AE, Kelly M, Sobel M. The effect of alignment of the implant on fractures of the patella after condylar total knee arthroplasty. J Bone Joint Surg Am. 1989;71:1031–9.PubMed
24.
Berger RA, Rubash HE, Seel MJ, Thompson WH, Crossett LS. Determining the rotational alignment of the femoral component in total knee arthroplasty using the epicondylar axis. Clin Orthop Relat Res. 1993;286:40–7.PubMed
25.
Nagamine R, Whiteside LA, White SE, McCarthy DS. Patellar tracking after total knee arthroplasty. The effect of tibial tray malrotation and articular surface configuration. Clin Orthop Relat Res. 1994;304:262–71.PubMed
26.
Buechel FF, Rosa RA, Pappas MJ. A metal-backed, rotating-bearing patellar prosthesis to lower contact stress. An 11-year clinical study. Clin Orthop Relat Res. 1989;248:34–49.PubMed
27.
Hofmann S, Romero J, Roth-Schiffl E, Albrecht T. Rotational malalignment of the components may cause chronic pain or early failure in total knee arthroplasty. Orthopade. 2003;32:469–76.PubMed
28.
Incavo SJ, Wild JJ, Coughlin KM, Beynnon BD. Early revision for component malrotation in total knee arthroplasty. Clin Orthop Relat Res. 2007;458:131–6.PubMed
29.
Matsuda S, Ishinishi T, White SE, Whiteside LA. Patellofemoral joint after total knee arthroplasty. Effect on contact area and contact stress. J Arthroplasty. 1997;12:790–7.PubMedCrossRef
30.
Chew JT, Stewart NJ, Hanssen AD, Luo ZP, Rand JA, An KN. Differences in patellar tracking and knee kinematics among three different total knee designs. Clin Orthop Relat Res. 1997;345:87–98.PubMedCrossRef
31.
Yoshii I, Whiteside LA, Anouchi YS. The effect of patellar button placement and femoral component design on patellar tracking in total knee arthroplasty. Clin Orthop Relat Res. 1992;275:211–9.PubMed
32.
Andriacchi TP, Yoder D, Conley A, Rosenberg A, Sum J, Galante JO. Patellofemoral design influences function following total knee arthroplasty. J Arthroplasty. 1997;12:243–9.PubMedCrossRef
33.
Freeman MA, Samuelson KM, Elias SG, Mariorenzi LJ, Gokcay EI, Tuke M. The patellofemoral joint in total knee prostheses. Design considerations. J Arthroplasty. 1989;4(Suppl):S69–74.PubMedCrossRef
34.
Petersilge WJ, Oishi CS, Kaufman KR, Irby SE, Colwell Jr CW. The effect of trochlear design on patellofemoral shear and compressive forces in total knee arthroplasty. Clin Orthop Relat Res. 1994;309:124–30.PubMed
35.
Benjamin JB, Szivek JA, Hammond AS, Kubchandhani Z, Matthews Jr AI, Anderson P. Contact areas and pressures between native patellas and prosthetic femoral components. J Arthroplasty. 1998;13:693–8.PubMedCrossRef
36.
Buechel FF, Pappas MJ, Makris G. Evaluation of contact stress in metal-backed patellar replacements. A predictor of survivorship. Clin Orthop Relat Res. 1991;273:190–7.PubMed
37.
McNamara JL, Collier JP, Mayor MB, Jensen RE. A comparison of contact pressures in tibial and patellar total knee components before and after service in vivo. Clin Orthop Relat Res. 1994;299:104–13.PubMed
38.
Kim BS, Reitman RD, Schai PA, Scott RD. Selective patellar nonresurfacing in total knee arthroplasty. 10-year results. Clin Orthop Relat Res. 1999;367:81–8.PubMedCrossRef
39.
Waters TS, Bentley G. Patellar resurfacing in total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg Am. 2003;85:212–7.PubMed
40.
Picetti III GD, McGann WA, Welch RB. The patellofemoral joint after total knee arthroplasty without patellar resurfacing. J Bone Joint Surg Am. 1990;72:1379–82.PubMed
41.
Soudry M, Mestriner LA, Binazzi R, Insall JN. Total knee arthroplasty without patellar resurfacing. Clin Orthop Relat Res. 1986;205:166–70.PubMed
42.
Scott WN, Kim H. Resurfacing the patella offers lower complication and revision rates. Orthopedics. 2001;24:24.PubMed
43.
Robertsson O, Dunbar M, Pehrsson T, Knutson K, Lidgren L. Patient satisfaction after knee arthroplasty: a report on 27,372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand. 2000;71:262–7.PubMedCrossRef
44.
Kawakubo M, Matsumoto H, Otani T, Fujikawa K. Radiographic changes in the patella after total knee arthroplasty without resurfacing the patella. Comparison of osteoarthrosis and rheumatoid arthritis. Bulletin. 1997;56:237–44.
45.
Wood DJ, Smith AJ, Collopy D, White B, Brankov B, Bulsara MK. Patellar resurfacing in total knee arthroplasty: a prospective, randomized trial. J Bone Joint Surg Am. 2002;84:187–93.PubMed
46.
Feller JA, Bartlett RJ, Lang DM. Patellar resurfacing versus retention in total knee arthroplasty. J Bone Joint Surg (Br). 1996;78:226–8.
47.
Rand JA. Patellar resurfacing in total knee arthroplasty. Clin Orthop Relat Res. 1990;260:110–7.PubMed
48.
Keblish PA, Varma AK, Greenwald AS. Patellar resurfacing or retention in total knee arthroplasty. A prospective study of patients with bilateral replacements. J Bone Joint Surg (Br). 1994;76:930–7.
49.
Malo M, Vince KG. The unstable patella after total knee arthroplasty: etiology, prevention, and management. J Am Acad Orthop Surg. 2003;11:364–71.PubMed
50.
Scuderi GR, Insall JN, Scott NW. Patellofemoral pain after total knee arthroplasty. J Am Acad Orthop Surg. 1994;2:239–46.PubMed
51.
Sneppen O, Gudmundsson GH, Bunger C. Patellofemoral function in total condylar knee arthroplasty. Int Orthop. 1985;9:65–8.PubMedCrossRef
52.
Bindelglass DF, Dorr LD. Current concepts review: symmetry versus asymmetry in the design of total knee femoral components–an unresolved controversy. J Arthroplasty. 1998;13:939–44.PubMedCrossRef
53.
Pagnano MW, Trousdale RT. Asymmetric patella resurfacing in total knee arthroplasty. Am J Knee Surg. 2000;13:228–33.PubMed
54.
Abdel MP, Berry DJ. Epidemiology of periprosthetic fractures. In: Perka C, ed. AO Trauma Manual; 2014.
55.
Hasegawa M, Ohashi T. Long-term clinical results and radiographic changes in the nonresurfaced patella after total knee arthroplasty: 78 knees followed for mean 12 years. Acta Orthop Scand. 2002;73:539–45.PubMedCrossRef
56.
Enis JE, Gardner R, Robledo MA, Latta L, Smith R. Comparison of patellar resurfacing versus nonresurfacing in bilateral total knee arthroplasty. Clin Orthop Relat Res. 1990;260:38–42.PubMed
57.
Barrack RL, Bertot AJ, Wolfe MW, Waldman DA, Milicic M, Myers L. Patellar resurfacing in total knee arthroplasty. A prospective, randomized, double-blind study with five to seven years of follow-up. J Bone Joint Surg Am. 2001;83:1376–81.PubMed
58.•
Parvizi J, Mortazavi SM, Devulapalli C, Hozack WJ, Sharkey PF, Rothman RH. Secondary resurfacing of the patella after primary total knee arthroplasty does the anterior knee pain resolve? J Arthroplasty. 2012;27:21–6. This retrospective review analyzed 41 knees that underwent secondary resurfacing because of anterior knee pain. The authors found that although the clinical and functional knee scores of the cohort improved, 8 patients remained dissatisfied. This highlights that secondary resurfacing is not always the appropriate solution.PubMedCrossRef
59.
Garcia RM, Kraay MJ, Goldberg VM. Isolated resurfacing of the previously unresurfaced patella total knee arthroplasty. J Arthroplasty 2010;25(5):754–58.
60.
Burnett RS, Boone JL, McCarthy KP, Rosenzweig S, Barrack RL. A prospective randomized clinical trial of patellar resurfacing and nonresurfacing in bilateral TKA. Clin Orthop Relat Res. 2007;464:65–72.PubMed
61.
O'Brien S, Spence DJ, Ogonda LO, Beverland DE. LCS mobile bearing total knee arthroplasty without patellar resurfacing. Does the unresurfaced patella affect outcome? Survivorship at a minimum 10-year follow-up. Knee. 2012;19:335–8.PubMedCrossRef
62.
Hwang BH, Yang IH, Han CD. Comparison of patellar retention versus resurfacing in LCS mobile-bearing total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2012;20:524–31.PubMedCrossRef
Metadaten
Titel
The patella in total knee arthroplasty: to resurface or not is the question
verfasst von
Matthew P. Abdel
Sébastien Parratte
Nicolaas C. Budhiparama
Publikationsdatum
01.06.2014
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2014
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9212-4

Weitere Artikel der Ausgabe 2/2014

Current Reviews in Musculoskeletal Medicine 2/2014 Zur Ausgabe

Resident Education (P Achan, Section Editor)

The need for specialist training exposure in residency programs

TKA Symposium (P Sancheti, Section Editor)

Mechanical, Anatomical, and Kinematic Axis in TKA: Concepts and Practical Applications

TKA Symposium (P Sancheti, Section Editor)

High flexion knee arthroplasty: the relationship between rotational angles and flexion angle after total knee arthroplasty

TKA Symposium (P Sancheti, Section Editor)

Venous Thromboembolism (VTE) Prophylaxis for Hip and Knee Arthroplasty: Changing Trends

Resident Education (P Achan, Section editor)

Developing an electronic teaching and training portfolio

Resident Education (P Achan, Section Editor)

The role of simulation in developing surgical skills

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

15.05.2024 Knie-TEP Nachrichten

Der Einsatz von Operationsrobotern für den Einbau von Totalendoprothesen des Kniegelenks hat die Präzision der Eingriffe erhöht. Für die postoperative Zufriedenheit der Patienten scheint das aber unerheblich zu sein, wie eine Studie zeigt.

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

15.05.2024 Vordere Kreuzbandruptur Nachrichten

Mit dem Hebelzeichen-Test lässt sich offenbar recht zuverlässig feststellen, ob ein vorderes Kreuzband gerissen ist. In einer Metaanalyse war die Vorhersagekraft vor allem bei positivem Testergebnis hoch.

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Klinik aktuell Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise