No difference in clinical outcome between patella eversion and lateral retraction in total knee arthroplasty: a systemic review and meta-analysis

Verfasser / Beitragende:
[Pengfei Zan, Wei Sun, Yong Yang, Xinyu Cai, Xiaojun Ma, Guodong Li]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1791-1798
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3477-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3477-4 
245 0 0 |a No difference in clinical outcome between patella eversion and lateral retraction in total knee arthroplasty: a systemic review and meta-analysis  |h [Elektronische Daten]  |c [Pengfei Zan, Wei Sun, Yong Yang, Xinyu Cai, Xiaojun Ma, Guodong Li] 
520 3 |a Purpose: Surgical exposure during total knee arthroplasty (TKA) requires mobilization technique of the patella. Proponents of minimally invasive TKA claim that lateral retraction, rather than eversion, of the patella may be beneficial. Many randomized controlled studies attempt to identify this issue; however, no final conclusion arrives. With this systemic review and meta-analysis, we intended to test whether patella eversion during TKA had deleterious effects. Methods: A comprehensive literature search was performed in PubMed, MEDLINE, EMBASE and other internet database. We retrieved all the relevant studies designed to interpret this issue. The searching time frame was from the establishing of these databases until July 2014. Results: Six randomized controlled trials assessing a total of 414 patients and 451 knees were included. The duration of surgery was much shorter (p=0.003), and the length of skin incision was much longer (p<0.00001). No significant difference was found on other measurements, including length of hospital stay, quadriceps strength, complications, straight leg raise, Visual Analogue Scale score and functional scores. Conclusions: Patella eversion could decrease the duration of the surgery; nevertheless, the length of skin incision was longer; no significant difference was found on other measurements, especially the quadriceps strength and complications which were concerned. Patella eversion and patella lateral retraction could achieve similar clinical outcomes. Level of evidence: Systematic review and meta-analysis, Level I. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a Patella eversion  |2 nationallicence 
690 7 |a Lateral retraction  |2 nationallicence 
690 7 |a Meta-analysis  |2 nationallicence 
700 1 |a Zan  |D Pengfei  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
700 1 |a Sun  |D Wei  |u Department of Orthopedics, Shanghai Jiao Tong University, Shanghai First People's Hospital, Shanghai, People's Republic of China  |4 aut 
700 1 |a Yang  |D Yong  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
700 1 |a Cai  |D Xinyu  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
700 1 |a Ma  |D Xiaojun  |u Department of Orthopedics, Shanghai Jiao Tong University, Shanghai First People's Hospital, Shanghai, People's Republic of China  |4 aut 
700 1 |a Li  |D Guodong  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1791-1798  |x 0942-2056  |q 23:6<1791  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3477-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3477-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zan  |D Pengfei  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sun  |D Wei  |u Department of Orthopedics, Shanghai Jiao Tong University, Shanghai First People's Hospital, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yang  |D Yong  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cai  |D Xinyu  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ma  |D Xiaojun  |u Department of Orthopedics, Shanghai Jiao Tong University, Shanghai First People's Hospital, Shanghai, People's Republic of China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Guodong  |u Department of Orthopedics, Tongji University, Shanghai Tenth People's Hospital, 301 Yanchang Rd, 200072, Shanghai, People's Republic of China  |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), 1791-1798  |x 0942-2056  |q 23:6<1791  |1 2015  |2 23  |o 167