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Patella is rarely resurfaced during primary total knee arthroplasty in clinical trials conducted in Greece: a systematic review.
Vasiliadis, Angelo V; Fermín, Theodorakys Marín; Giovanoulis, Vasileios; Al-Dolaymi, Ayyoub A; Batailler, Cécile; Lustig, Sébastien.
Afiliação
  • Vasiliadis AV; Department of Orthopaedic Surgery, Sports Trauma Unit, St. Luke's Hospital, Panorama, Thessaloniki, 55236, Greece. vasiliadis.av@gmail.com.
  • Fermín TM; Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon North University Hospital, Lyon, 69004, France. vasiliadis.av@gmail.com.
  • Giovanoulis V; Centro Médico Profesional Las Mercedes, Caracas, 1080, Venezuela.
  • Al-Dolaymi AA; Department of Orthopaedic and Traumatology Surgery, Hospital Henri-Mondor, University Paris East, Créteil, France.
  • Batailler C; Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
  • Lustig S; Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon North University Hospital, Lyon, 69004, France.
Arch Orthop Trauma Surg ; 144(8): 3649-3655, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39105838
ABSTRACT

PURPOSE:

The aim of the present study was to report the approach of Greek surgeons regarding patellar management and provide the outcomes and the rate of the need for secondary patella resurfacing.

METHODS:

Following the PRISMA guidelines, PubMed, Scopus, and The Cochrane Central Register of Controlled Trials (CENTRAL) databases were accessed in January 2024. Clinical studies evaluating the outcomes of patients undergoing primary TKA were considered eligible for this systematic review if the following predefined criteria were fulfilled (1) published in English, (2) were conducted in Greece, and had a minimum of 2-year follow-up. The methodological quality and publication bias were assessed using the Modified Coleman Methodology Score (mCMS) and ROBIS tool, respectively. Data was presented in tables using absolute values from individual studies. Pooled data were presented as means, ranges, and percentages.

RESULTS:

Six clinical studies with a total of 1084 TKAs were included. Four studies were retrospectives, and two studies were prospective. Patella was only resurfaced in 0.6% of total TKAs. TKA without patellar resurfaced, which resulted in an improvement in functional outcome. Among studies, the overall need for revision incidence was 7.6% (68 out of 892 TKAs). Additionally, Aseptic loosening (2.4%) was the most common reason for revision due to patellofemoral joint complications, followed by secondary patellar resurfacing (2.1%) and deep infection (1.3%). The mean mCMS demonstrated a fair methodological quality level, and the ROBIS toll a low risk of bias in all four domains.

CONCLUSION:

The available evidence supports that Greek surgeons mainly do not resurface the patella. However, patellar non-resurfacing yields good functional outcomes and presents relatively low revision rates for secondary patellar resurfacing. LEVEL OF EVIDENCE IV.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Patela / Artroplastia do Joelho Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Arch Orthop Trauma Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Grécia

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Patela / Artroplastia do Joelho Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Arch Orthop Trauma Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Grécia