The Hip: Preservation, Replacement and Revision

TKR: Non Resurfaced Patella

- Non Resurfaced Patella Considerations:
      - 
eventhough non resurfaced patella gives good clinical results, in some patients, the added thickness of the native patella interferes with
             surgical exposure for the rest of the case (which can compromise subsequent bone cuts);
      - patellar decompression:
                    -
The efficacy of patellar decompression for improving anterior knee pain following total knee arthroplasty without patellar resurfacing
      - patella reshaping:
            - 
references:
                    - Patellar reshaping versus resurfacing in total knee arthroplasty - Results of a randomized prospective trial at a minimum of 7 years' follow-up
                    - Lateral Patellar Facetectomy Had Improved Clinical Results in Patients with Patellar-Retaining Total Knee Arthroplasty 
                    - Lateral patellofemoral impingement: a cause of treatable pain after TKA
                    - Patellofemoral osteoarthritis treated by partial lateral facetectomy: Results at long-term follow up
                    - Partial lateral patellar facetectomy for treatment of arthritis due to lateral patellar compression syndrome
                    - Patelloplasty Versus Traditional Total Knee Arthroplasty for Osteoarthritis
      - soft tissue resurfacing:
                    -
An alternative patellar resurfacing technique in knee replacement: patellofemoral fascial interposition arthroplasty 
      - patellar denervation:
                    - Patellar Denervation in Non Patellar Resurfacing Total Knee Arthroplasty
                    - Electrosurgical arthroscopic patellar denervation.
                    - Role of patellar denervation in the treatment of femoropatellar chondropathies
                    - The innervation of patella: anatomical and clinical study
                    - Intraosseous innervation of the human patella: a histologic study.
                    - Patellofemoral pain: treatment by arthroscopic patellar denervation
                    - Patellar denervation in total knee arthroplasty.
                    - A Dutch Survey on Circumpatellar Electrocautery in Total Knee Arthroplasty
                    - Prospective Trial of Resurfaced Patella Versus Non-Resurfaced Patella in Simultaneous Bilateral Total Knee Replacement  
                    - Electrocautery of the patellar rim in primary total knee replacement: beneficial or unnecessary?
                    - Intraosseous innervation of the human patella: a histologic study
                    - Circumpatellar electrocautery may lead to lower rate of knee pain 1 year after TKA  
                    - A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing
                    - Should We Be Performing Circumpatellar Electocautery in Primary TKA?



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Thursday, February 26, 2015 2:21 pm