Pérez-Atanasio JM

Language: Spanish
References: 9
Page: 50-52
PDF size: 136.13 Kb.

ABSTRACT

Introduction: There is currently a debate about whether or not to resurface the patella in primary total knee arthroplasty. Those in favor of resurfacing report that this decreases the risk of residual anterior knee pain and the need for re-operation; on the other hand, advocates of preserving the native patella argue that this avoids the risk of patellar fracture. Methods: Analysis of the scientific literature on the relevance of resurfacing or not the patella. Results: In the United States of America, more than 90% of surgeons routinely resurface the patella, in Asian countries it is less frequent, in Norway and Sweden only 2 and 3% respectively. In the medium and long term, there seems to be no difference in clinical and functional outcomes among patients with or without patella resurfacing. Cost-effectiveness studies show that it is better to resurface the patella, because if it is not resurfaced and patient presents residual anterior knee pain, it would be necessary to perform a new surgery, which would increase the final attention cost. Conclusion: I propose that the most acceptable behavior is to selectively resurface the patella, to resurface when the patient presents pre-surgically: anterior knee pain or patello-femoral osteoarthritis and avoid to resurface if the patella is thin and there is a high risk of fracture.

REFERENCES

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