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Updated: May 14, 2026
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Clinical study on patellar replacement in total knee arthroplasty]
Liang Bao1, Zhihui Gao, Xiaoqiang Shi
1Postgraduate Education College, Ningxia Medical University, Yinchuan Ningxia, 750004, PR China.
Summary
Patellar replacement in total knee arthroplasty significantly reduces anterior knee pain and improves function scores. This study found patellar resurfacing beneficial for enhancing outcomes in knee replacement patients.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Context:
- Total knee arthroplasty (TKA) is a common procedure for end-stage knee osteoarthritis.
- The role of patellar resurfacing during TKA remains a subject of debate.
- This study investigates the impact of patellar replacement versus non-replacement on TKA outcomes.
Purpose:
- To evaluate the influence of patellar replacement on total knee arthroplasty outcomes.
- To compare the effectiveness of patellar replacement versus non-patellar replacement in TKA patients.
Summary:
- A randomized controlled trial compared patellar replacement (32 knees) with non-patellar replacement (31 knees) in 63 osteoarthritis patients undergoing TKA.
- Follow-up at 3, 6, and 12 months showed significantly lower anterior knee pain and improved joint function scores in the patellar replacement group.
- While clinical scores (Knee Society Score) showed no significant difference, patellar scores improved at 12 months with patellar replacement.
Impact:
- Patellar replacement can enhance functional recovery and patient satisfaction after TKA.
- Results suggest patellar resurfacing may be a valuable adjunct to TKA for reducing postoperative anterior knee pain.
- Further research may refine patient selection criteria for patellar resurfacing in TKA.
