Comparison of patellar resurfacing versus preservation in high flexion total knee arthroplasty

Verfasser / Beitragende:
[Seong Kim, Sahnghoon Lee, Du Ro, Yool Cho, Young Lee, Kee Chung, Myung Lee]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1782-1790
Format:
Artikel (online)
ID: 605456305
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024 7 0 |a 10.1007/s00167-014-3278-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3278-9 
245 0 0 |a Comparison of patellar resurfacing versus preservation in high flexion total knee arthroplasty  |h [Elektronische Daten]  |c [Seong Kim, Sahnghoon Lee, Du Ro, Yool Cho, Young Lee, Kee Chung, Myung Lee] 
520 3 |a Purpose: Recently, high flexion design total knee arthroplasty (TKA) has been introduced to improve clinical outcomes. The purpose of this study is to compare the midterm outcomes between patellar resurfacing (PR) and patellar preservation (PP) in high flexion TKA. Methods: A total of 373 knees of primary TKAs were performed using high flexion design, 339 knees involved PR group and 34 knees involved PP group. After applying exclusion criteria, 1:3 matching was performed by the matching criteria. After matching, 69 knees in PR group and 23 knees in PP group remained. Radiographic outcomes, clinical outcomes, patients' satisfaction, ability and pain related to the high flexion activities were also evaluated. Results: There was no significant difference in radiograph measurements, KS function score and WOMAC score (n.s). However, PR group showed better outcomes in KS knee score (P=0.001) and HSS score (P=0.03). There was no significant difference in postoperative satisfaction and ability of high flexion activities between the groups, but the pain at the high flexion activities in PP group was worse than that in PR group. Conclusion: In high flexion design of TKA, PR resulted in better midterm outcomes in regard to KS knee score, HSS score and knee pain related to the high flexion activities. The selective PR is recommended when performing primary TKA with high flexion design. Level of evidence: IV. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Patellar resurfacing  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a High flexion TKA  |2 nationallicence 
690 7 |a Patellar preservation  |2 nationallicence 
700 1 |a Kim  |D Seong  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Sahnghoon  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Ro  |D Du  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Cho  |D Yool  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Young  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Chung  |D Kee  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Myung  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1782-1790  |x 0942-2056  |q 23:6<1782  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3278-9  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3278-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Seong  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Sahnghoon  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ro  |D Du  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cho  |D Yool  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Young  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chung  |D Kee  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Myung  |u Department of Orthopedic Surgery, Seoul National University Hospital, 101 Daehak-Ro Jongno-Gu, 110-744, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1782-1790  |x 0942-2056  |q 23:6<1782  |1 2015  |2 23  |o 167