Patellar denervation in total knee arthroplasty without patellar resurfacing: a prospective, randomized controlled study

Orthopaedics & Traumatology, Surgery & Research : OTSR
M A AltayU E Işıkan

Abstract

Anterior knee pain is still a major problem in total knee arthroplasty (TKA). Although the most widely accepted opinion is that anterior knee pain is often associated with a patellofemoral etiology, there is no clear consensus as to etiology or treatment. Disabling pain receptors by electrocautery could theoretically achieve denervation of the anterior knee region. The present prospective randomized controlled study aimed to evaluate results after patellar denervation with electrocautery in TKA at a minimum follow-up of 2 years. Patellar denervation provides some benefit in terms of pain and clinical outcomes after TKA without patellar resurfacing. Clinical and radiological results for 35 patients with single-stage bilateral TKA (70 knees; 26 women, nine men; mean age, 68 years [range, 58 to 77 years]) were reviewed. In addition to removal of all osteophytes, patellar denervation by electrocautery was performed on one patella; and debridement alone, removing all osteophytes, was performed on the contralateral patella, as a control. KSS score and a visual analog scale (VAS) were used to assess pre- and postoperative anterior knee pain. Mean follow-up was 36 months (24 to 60 months). No revisions or re-operations were performed. ...Continue Reading

References

Jan 1, 1991·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Y MoriM Kubo
Jan 1, 1985·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J A Rand, T A Gaffey
Jul 13, 1999·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·D Witoński, M Wagrowska-Danielewicz
May 17, 2001·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·A LindstrandS Toksvig-Larsen
Sep 21, 2005·Surgical and Radiologic Anatomy : SRA·G MaralcanD Evcik
Sep 6, 2006·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jordi VegaLuis Pérez-Carro
Sep 29, 2007·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Birgit LehnerRainer H Straub
May 20, 2008·Archives of Orthopaedic and Trauma Surgery·Wouter L W van HemertIde C Heyligers
Oct 2, 2008·The Journal of Bone and Joint Surgery. British Volume·T-H KimS-I Bin
Jan 7, 2009·Archives of Orthopaedic and Trauma Surgery·Vittorio CalvisiStefano Lupparelli
Mar 4, 2009·The Journal of Bone and Joint Surgery. American Volume·Nicole A WilsonLi-Qun Zhang
Nov 4, 2009·The Journal of Bone and Joint Surgery. American Volume·R Stephen J BurnettRobert L Barrack
Jul 9, 2010·Clinics in Sports Medicine·Hervé Collado, Michael Fredericson
Jan 14, 2011·The Open Orthopaedics Journal·Hans-Peter W van JonbergenCees C P M Verheyen
Jan 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yonghui FuQin Fu
Jul 28, 2011·The Journal of Bone and Joint Surgery. American Volume·George PavlouEleftherios Tsiridis

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Citations

Feb 8, 2014·The Knee·Niloofar NamaziMahrad Mojtahed Jaberi
Jun 8, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tao ChengXianlong Zhang
Aug 26, 2014·Journal of Orthopaedic Surgery and Research·Siqun WangGangyong Huang
May 27, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mustafa YassinDror Robinson
Sep 15, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alisara ArirachakaranJatupon Kongtharvonskul
Mar 12, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·XiaoWei XiePengDe Kang
Aug 31, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·F ChâtainO Tayot
Mar 4, 2017·Nigerian Journal of Clinical Practice·U E AnyaehieC U Nwadinigwe
Sep 19, 2014·World Journal of Orthopedics·Vasileios S NikolaouGeorge C Babis
Aug 8, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nerea GoicoecheaJoan Carles Monllau
Oct 2, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Peng ZhangWen-Liang Wang
Sep 14, 2021·JBJS Reviews·Michael B HeldH John Cooper

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