Comparison of radiological and clinical assessments patellar resurfacing with retention for late stages of knee osteoarthritis performed total knee arthroplasty
Journal Title: Orthopaedics, Traumatology and Prosthetics - Year 2016, Vol 602, Issue 1
Abstract
Introduction: the purpose of this prospective study was to compare radiological and clinical outcomes after total knee arthroplasty (TKA) with or without patellar resurfacing in patients with grade IV osteoarthritis on patellofemoral joint. Materials and Methods: 123 cases with Kellgren-Lawrence grade IV osteoarthritis on patellofemoral joint were enrolled for this study. At the operating room they were randomly assigned to undergo patella resurfacing (62 cases) or patella retention (61 cases). Among them, 114 cases that could be followed for more than 2 years were included in this study (resurfacing group; 59 cases, retention group; 55 cases). Preoperative and postoperative radiological and clinical outcomes (mechanical femorotibial angles, patellar tilt, congruence angle, WOMAC score and ROM) were evaluated and compared between two groups. Results: preoperative radiological measures show insignificant difference between patellar tilt (P = 0.13), mechanical femorotibial angles (P = 0.62) and congruence angle (P = 0.37). Despite the difference performed methods of surgery, postoperative radiological assessment outcomes between two groups were almost identical Patellar tilt (P = 0.47), mechanical femorotibial angles (P = 0.34) and congruence angle (P >0.05). WOMAC score after surgery was 31.7 ± 6.4 point in resurfacing group, 29.2 ± 6.9point was in retention group without significant intergroup difference. And there was no significant difference ROM in both groups respectively. There was no significant difference between two groups in mechanical axis of the lower limb and patella tilt, patella congruence. Conclusion: obtained almost the same satisfactory radiological and clinical outcomes after patella resurfacing and retention groups after TKR allows us to conclude that, primary TKA without patellar resurfacing is a good treatment option in patients with high grade osteoarthritis of the patellofemoral joint.
Authors and Affiliations
Jong Keun Seon, Kamolhuja Eshnazarov, Murodulla Karimov, Eun Kyo Song
Keywords
Related Articles
- EP ID EP202206
- DOI 10.15674/0030-59872016123-27
- Views 301
- Downloads 0
Effect of natural hydroxyapatite and β-tricalciumphosphate on dynamic changes in the mechanical properties of experimental compact bone defect
Objective: to compare the effects of natural hydroxyapatite and β-tricalcium phosphate (β-TCP) on the dynamics of changes in the mechanical properties of experimental defect of cortical bone. Methods: the experiment wa...
State of venous blood flow in the lower extremitiesof patients with fractures of the tibia after plate osteosynthesis
Violation of antegrade blood flow, deep vein thrombosis and pulmonary embolism (PE) presents the complex problem in the treatment of trauma patients. The goal: to examine the state of antegrade blood flow in the vessel...
The results of Bogdanov and Bitchuk rods application for deformity correction of the low extremities in patients with osteogenesis imperfect
Treatment of low extremities deformities in children with osteogenesis imperfect is still actually under 40 years. There are a lot of surgical methods, but number of complications is still high (from 30 to 50–60 %). Pur...
The modern concept of diagnosis and treatment of gunshot and mine-explosive injuries of limbs
Purpose: to analyze medical care experience in the treatment of patients with limb wounds in the system of staged military treatment-evacuation supplying (TES) and to build up recommendation for common understanding in p...
The dynamics of blood indexes in rats after ceramic biomaterial implantation in defects of the femur methaphis and diaphysis [Динаміка показників крові щурів після імплантації керамічного біоматеріалу в дефекти метафіза та діафіза стегнової кістки]
Objective: on the base of blood markers dynamics we determined the influence of ceramic material on the rats’ organism and bone regeneration after implantation in the femur methaphis and diaphysis. Methods: study was mad...