To resurface the patella or not, in primary total knee arthroplasty? A prospective study
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: Knee arthritis is tricompartmental. In TKR patellofemoral arthritis can’t be neglected. However, one group of surgeons always replace patellar surface, other group never touch patella, some replace it in only selected cases. This study was undertaken to see if any difference in functional outcome between two groups Objective; Compare the functional outcome between the patellar resurfaced and non-resurfaced groups and to find out the overall Patient satisfaction in both the groups in total knee arthroplasty. Methods: A clinical perspective study from two hospitals 20 cases in each group totalling 40 cases of tricompartmental osteoarthritis knees. For pain VAS score, for function KSS, HSS scores used.The data was analyzed using the Student t test and Mann-Whitney U test. Results: 57.5% of the overall patients being females and 42.5% being men. 75% of the resurfaced cases were male and 90% of the non-resurfaced cases were female. The mean age of patients was 64.8 years. The mean body mass index was 28.1. The measured intraoperative patellar thickness using a caliper is statistically significant with a mean thickness of 19.7mm in unsurfaced and 23.6 mm in resurfaced group. Conclusion: There is no difference in the overall satisfaction or quality of life between the two groups.
Authors and Affiliations
Dr. Manjunath KS, Dr. Gopalakrishna KG, Dr. Kazim Mahmood, Dr. Hemanth HP
Keywords
Related Articles
- EP ID EP499535
- DOI 10.22271/ortho.2017.v3.i1d.36
- Views 89
- Downloads 0
Electrophysiological and functional outcome after carpal tunnel release in patients with carpal tunnel syndrome: A prospective evaluation
Background: The Carpal tunnel syndrome (CTS) is median nerve entrapment neuropathy at wrist and is one of the commonly diagnosed disabling condition of the upper extremity. The only scientifically established disease mod...
Management of complex long bone nonunions using limb reconstruction system
Background: Management of complex nonunions is difficult due to the presence of infection, deformities, shortening and multiple surgeries in the past. Complex nonunions are traditionally managed by Ilizarov fixation. The...
A prospective study of surgical management of tibial plateau fractures by locking compression plate
Aim: To assess the clinical and functional outcome of surgically treated tibial plateau fractures with internal fixation by locking compression plated at SSIMS-RC, DAVANAGERE during JUNE 2015 TO FEBRUARY 2017. Objectives...
Is vitamin D deficiency a modern epidemic in tropical countries?
Background: Vitamin D deficiency is a global health problem. Prolong deficiency of Vitamin D leads to alteration in calcium metabolism thereby leading to rickets in children and osteomalacia in adults. Deficiency of vita...
Simultaneous double dislocation of the interphalangeal joints of the fourth finger: A case report
Double dislocation of the proximal (PIP) and the distal interphalangeal (DIP) remains an extremely rare entity. The association with a metacarpal fracture of the same hand reflects the violence of the trauma. We report a...