Relationship between patellar resurfacing and postoperative anterior knee pain in total knee arthroplasty

Bedrettin Akar; Fatih Uğur; Tolga Kaplan; Mehmet Albayrak

Makale detayları

Relationship between patellar resurfacing and postoperative anterior knee pain in total knee arthroplasty

Yazarlar:

Bedrettin Akar | Fatih Uğur | Tolga Kaplan | Mehmet Albayrak

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.6 Issue 4, pp.267-271

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323956

pISSN:

2718-0115

Anahtar kelimeler:

Özet:

 Aims: To retrospectively demonstrate the effect of patellar resurfacing PR on the clinical and functional outcomes of total knee arthroplasty TKA. Methods: The files of 257 patients who presented to our clinic between 2013 and 2022 and underwent TKA due to the diagnosis of grade IV gonarthrosis were screened retrospectively. Thirty-two patients were excluded due to not attending regular follow-up, receiving steroid treatment, or being morbidly obese. The sample consisted of 225 patients, of whom 123 underwent PR Group A and 102 did not undergo PR Group B. The Sperner classification was used to evaluate the level of patellar arthrosis. The effect of PR on postoperative clinical and functional outcomes in patients undergoing TKA was investigated using the WOMAC knee functional scoring and Visual Analog Scale VAS for clinical and functional evaluation at six, 12, and 24 months postoperatively. Results: The presence of anterior knee pain wasstatistically significantly lower in Group A than in Group B p0.0001. There was no statistically significant difference between the comorbidity distributions of the groups. The preoperative-to-postoperative changes in the mean VAS and WOMAC scores were statistically significantly higher in Group A compared to Group B p0.0001 for both. Conclusion: The implementation of PR in TKA may vary depending on countries, clinics, and even surgeons. In the current study, PR was found to contribute positively to the clinical and functional outcomes of patients by preventing complications such as anterior knee pain that may develop due to patellar arthrosis in the postoperative period.

 Aims: To retrospectively demonstrate the effect of patellar resurfacing PR on the clinical and functional outcomes of total knee arthroplasty TKA. Methods: The files of 257 patients who presented to our clinic between 2013 and 2022 and underwent TKA due to the diagnosis of grade IV gonarthrosis were screened retrospectively. Thirty-two patients were excluded due to not attending regular follow-up, receiving steroid treatment, or being morbidly obese. The sample consisted of 225 patients, of whom 123 underwent PR Group A and 102 did not undergo PR Group B. The Sperner classification was used to evaluate the level of patellar arthrosis. The effect of PR on postoperative clinical and functional outcomes in patients undergoing TKA was investigated using the WOMAC knee functional scoring and Visual Analog Scale VAS for clinical and functional evaluation at six, 12, and 24 months postoperatively. Results: The presence of anterior knee pain wasstatistically significantly lower in Group A than in Group B p0.0001. There was no statistically significant difference between the comorbidity distributions of the groups. The preoperative-to-postoperative changes in the mean VAS and WOMAC scores were statistically significantly higher in Group A compared to Group B p0.0001 for both. Conclusion: The implementation of PR in TKA may vary depending on countries, clinics, and even surgeons. In the current study, PR was found to contribute positively to the clinical and functional outcomes of patients by preventing complications such as anterior knee pain that may develop due to patellar arthrosis in the postoperative period.

 Aims: To retrospectively demonstrate the effect of patellar resurfacing PR on the clinical and functional outcomes of total knee arthroplasty TKA. Methods: The files of 257 patients who presented to our clinic between 2013 and 2022 and underwent TKA due to the diagnosis of grade IV gonarthrosis were screened retrospectively. Thirty-two patients were excluded due to not attending regular follow-up, receiving steroid treatment, or being morbidly obese. The sample consisted of 225 patients, of whom 123 underwent PR Group A and 102 did not undergo PR Group B. The Sperner classification was used to evaluate the level of patellar arthrosis. The effect of PR on postoperative clinical and functional outcomes in patients undergoing TKA was investigated using the WOMAC knee functional scoring and Visual Analog Scale VAS for clinical and functional evaluation at six, 12, and 24 months postoperatively. Results: The presence of anterior knee pain wasstatistically significantly lower in Group A than in Group B p0.0001. There was no statistically significant difference between the comorbidity distributions of the groups. The preoperative-to-postoperative changes in the mean VAS and WOMAC scores were statistically significantly higher in Group A compared to Group B p0.0001 for both. Conclusion: The implementation of PR in TKA may vary depending on countries, clinics, and even surgeons. In the current study, PR was found to contribute positively to the clinical and functional outcomes of patients by preventing complications such as anterior knee pain that may develop due to patellar arthrosis in the postoperative period.

 Aims: To retrospectively demonstrate the effect of patellar resurfacing PR on the clinical and functional outcomes of total knee arthroplasty TKA. Methods: The files of 257 patients who presented to our clinic between 2013 and 2022 and underwent TKA due to the diagnosis of grade IV gonarthrosis were screened retrospectively. Thirty-two patients were excluded due to not attending regular follow-up, receiving steroid treatment, or being morbidly obese. The sample consisted of 225 patients, of whom 123 underwent PR Group A and 102 did not undergo PR Group B. The Sperner classification was used to evaluate the level of patellar arthrosis. The effect of PR on postoperative clinical and functional outcomes in patients undergoing TKA was investigated using the WOMAC knee functional scoring and Visual Analog Scale VAS for clinical and functional evaluation at six, 12, and 24 months postoperatively. Results: The presence of anterior knee pain wasstatistically significantly lower in Group A than in Group B p0.0001. There was no statistically significant difference between the comorbidity distributions of the groups. The preoperative-to-postoperative changes in the mean VAS and WOMAC scores were statistically significantly higher in Group A compared to Group B p0.0001 for both. Conclusion: The implementation of PR in TKA may vary depending on countries, clinics, and even surgeons. In the current study, PR was found to contribute positively to the clinical and functional outcomes of patients by preventing complications such as anterior knee pain that may develop due to patellar arthrosis in the postoperative period.

Makale detayları

Relationship between patellar resurfacing and postoperative anterior knee pain in total knee arthroplasty

Yazarlar:

Bedrettin Akar | Fatih Uğur | Tolga Kaplan | Mehmet Albayrak

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.6 Issue 4, pp.267-271

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323956

pISSN:

2718-0115

Arthroplasty

Knee Replacement

Patella

Osteoarthrosis

Complications

Sayı

Makale detayları

Relationship between patellar resurfacing and postoperative anterior knee pain in total knee arthroplasty

Yazarlar: Bedrettin Akar | Fatih Uğur | Tolga Kaplan | Mehmet Albayrak

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ortopedi

Dergi: Anatolian Current Medical Journal Vol.6 Issue 4, pp.267-271

Belge Tipi: Makale

Yayın Tarihi: 7/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001323956

pISSN: 2718-0115

Arthroplasty

Knee Replacement

Patella

Osteoarthrosis

Complications

Sayı

Yazarlar:

Bedrettin Akar | Fatih Uğur | Tolga Kaplan | Mehmet Albayrak

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Anatolian Current Medical Journal Vol.6 Issue 4, pp.267-271

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001323956

pISSN:

2718-0115