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title

Comparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation

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Year: 2018
COI code: JR_TABO-6-2_007
Paper Language: English

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Authors Comparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation

  Mohammad H. Kaseb - Department of Orthopedic Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
  Mohammad N. Tahmasebi - Department of Orthopedic Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  S. M. Javad Mortazavi - Department of Orthopedic Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mohammad R. Sobhan - Department of Orthopedic Surgery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Abstract:

Background: There is no difference in the functional outcomes 6 months after total knee arthroplasty (TKA) for kneeosteoarthritis between patellar resurfacing and non-resurfacing. Thus, we have performed this study to compare theshort-term clinical outcomes of TKA performed with and without the patella resurfacing.Methods: A total of 50 patients with osteoarthritis of the knee (OAK) were randomized to receive patellar resurfacing(n=24; resurfaced group) or to retain their native patella (n=26; non-resurfaced group) based on envelope selectionand provided informed consent. Disease specific outcomes including Knee Society Score (KSS), Knee SocietyFunction Score (KSKS-F), Kujala Anterior Knee Pain Scale (AKPS), Western Ontario and McMaster UniversitiesArthritis Index (WOMAC), Short Form 36 (SF-36), and functional patella-related activities were measured within sixmonths of follow-up.Results: There was no significant difference between the resurfaced and non-resurfaced groups in pre and postoperativeimprovement of range of motion (ROM) (P=0.421), KSS (P=0.782, P=0.553), KSKS-F (P=0.241, P=0.293),AKPS (P=0.128, P=0.443), WOMAC (P=0.700, P=0.282), and pain scores (P=0.120, P=0.508). There was nodifference in ROM between resurfaced and non-resurfaced group pre (15.24° and 15.45°) and post-operative (18.48°and 18.74). No side effects related to patella was observed in any of the groups. Revision was required in none ofthe participants.Conclusion: The results showed no significant difference between patellar resurfacing and non-resurfacing in TKA forall outcome measures in a short term.

Keywords:

Non-resurfacing, Osteoarthritis, Patellar resurfacing, Total knee arthroplasty

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COI code: JR_TABO-6-2_007

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Kaseb, Mohammad H.; Mohammad N. Tahmasebi; S. M. Javad Mortazavi & Mohammad R. Sobhan, 2018, Comparison of Clinical Results between Patellar Resurfacing and Non-resurfacing in Total Knee Arthroplasty: A Short Term Evaluation, The Archives of Bone and Joint Surgery 6 (2), https://www.civilica.com/Paper-JR_TABO-JR_TABO-6-2_007.htmlInside the text, wherever referred to or an achievement of this article is mentioned, after mentioning the article, inside the parental, the following specifications are written.
First Time: (Kaseb, Mohammad H.; Mohammad N. Tahmasebi; S. M. Javad Mortazavi & Mohammad R. Sobhan, 2018)
Second and more: (Kaseb; Tahmasebi; Mortazavi & Sobhan, 2018)
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Type: Medical University
Paper No.: 6412
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