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Related Experiment Videos

Why not resurface the patella?

J P Levai, H C McLeod, M A Freeman

    The Journal of Bone and Joint Surgery. British Volume
    |August 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Resurfacing the patella after ICLH prosthesis implantation significantly reduced knee pain for patients with rheumatoid arthritis and osteoarthritis. This procedure offered a clear benefit without any discernible drawbacks.

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    Area of Science:

    • Orthopedic surgery
    • Rheumatology
    • Biomedical engineering

    Background:

    • Knee replacement surgery, specifically using the ICLH prosthesis, is a common procedure for arthritis.
    • The patella's articular cartilage can be a source of pain after knee arthroplasty.
    • The decision to resurface the patella during ICLH prosthesis implantation is debated.

    Purpose of the Study:

    • To evaluate the outcomes of patellar resurfacing versus non-resurfacing in patients who received the ICLH prosthesis.
    • To compare the incidence of peripatellar pain between the two surgical approaches.

    Main Methods:

    • A retrospective review of 71 knees (47 rheumatoid arthritis, 24 osteoarthritis) that underwent ICLH prosthesis implantation.
    • Comparison of outcomes between knees with and without patellar resurfacing.

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  • Exclusion of two knees due to patellar fractures.

    • Main Results:

    • Patellar resurfacing was associated with a significant reduction in peripatellar pain.
    • No negative consequences or disadvantages were observed in the patellar resurfacing group.
    • The overall complication rate was low, with only two exclusions due to fractures.

    Conclusions:

    • Patellar resurfacing is a beneficial adjunct to ICLH prosthesis implantation for managing knee pain.
    • The procedure offers a favorable risk-benefit profile for patients with inflammatory and degenerative arthritis.
    • Further research may explore long-term outcomes and patient-reported satisfaction.