Risk Factors for Patellar Clunk or Crepitation after Primary Total Knee Arthroplasty: A Systematic Review and Meta-analysis.

The Journal of Knee Surgery
Guman DuanYongwei Pan

Abstract

Patellar clunk and crepitation (PCC) have been reported as a consequence of primary total knee arthroplasty (TKA). The incidence and contributing factors have not been fully defined. We performed this systematic review to evaluate factors associated with PCC following primary TKA. We identified studies on PCC following TKA from an electronic search of articles in Medline, Embase and the Cochrane databases (dated up to May 2018). Eighteen studies altogether, including 600 cases of PCC within 8,131 TKAs, were included in the meta-analysis. Several factors including demographic, intraoperative, clinical variables, and radiographic measurements were pooled for meta-analysis. Among intraoperative and clinical variables, patients involved with patellar retention (odds ratio [OR] = 9.420; confidence interval [CI]: 5.770-13.070), lateral reticular release (OR = 2.818; CI: 1.114-7.125), and previous surgery (OR = 2.724; CI: 1.549-4.790) were more likely to having PCCs. Among radiographic measurements, increased anterior tibial offset (weighted mean difference [WMD] = 0.387; CI: 0.139-0.634), increased joint line changes (WMD = 1.325; CI: 0.595-2.055), and increased knee flexion angle (WMD = 3.592; CI: 1.811-5.374) were considered risk f...Continue Reading

References

Feb 1, 1996·The Journal of Arthroplasty·H Shoji, E Shimozaki
Feb 1, 1996·The Journal of Arthroplasty·M Messieh
Feb 12, 1998·Annals of Internal Medicine·J LauC H Schmid
Apr 29, 1999·The Journal of Arthroplasty·C M Larson, P F Lachiewicz
May 17, 2001·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P AgliettiP F Indelli
Apr 16, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Masaaki TakahashiAkira Nagano
Apr 17, 2002·International Orthopaedics·D IpW L Tsang
Aug 20, 2002·International Orthopaedics·J W K WongP K Y Chiu
Oct 2, 2002·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takuya OkamotoSoji Maruo
May 29, 2003·Clinical Orthopaedics and Related Research·William J MaloneyThomas P Sculco
Dec 6, 2003·The Journal of Arthroplasty·Wai-Pan YauWai-Man Tang
Oct 27, 2004·Archives of Orthopaedic and Trauma Surgery·D IpJ J Lam
Apr 21, 2005·BMC Medical Research Methodology·Stela Pudar HozoIztok Hozo
Jun 2, 2007·The Journal of Bone and Joint Surgery. British Volume·K K ParkT K Kim
Dec 25, 2008·The Journal of Arthroplasty·Khaled A DajaniBruce A Levy
Apr 2, 2009·The Journal of Bone and Joint Surgery. British Volume·K FukunagaK Takaoka
Aug 14, 2010·Clinical Orthopaedics and Related Research·Douglas A DennisAdrija Sharma
Sep 18, 2010·Clinical Orthopaedics and Related Research·Benjamin ZmistowskiPeter F Sharkey
Oct 30, 2010·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Claire J Robertson
Jun 28, 2011·Plastic and Reconstructive Surgery·Patricia B BurnsKevin C Chung
Jul 5, 2011·The Journal of Arthroplasty·William G HamiltonC Anderson Engh
Dec 14, 2011·Clinics in Orthopedic Surgery·Jee Hyoung KimJung Soo Lee
Mar 9, 2012·The Journal of Bone and Joint Surgery. American Volume·Morteza MeftahChitranjan S Ranawat
Oct 27, 2012·Clinical Orthopaedics and Related Research·Won Chul ChoiMyung Chul Lee
Nov 6, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stefan J M BreugemC Niek van Dijk
Nov 28, 2012·Clinical Orthopaedics and Related Research·Bo-Hyun HwangSu-Chan Lee
Jan 16, 2013·The Journal of Bone and Joint Surgery. American Volume·R W D PillingA Mohsen
Apr 10, 2013·The Journal of International Medical Research·Jie WeiFan-Jing Kong
May 2, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Raffaele MugnaiFabio Catani
May 15, 2013·The Journal of Arthroplasty·Sanjay R AgarwalaAashish G Patel
Jul 23, 2013·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Thomas J HeyseHollis G Potter
Nov 19, 2013·The Journal of Arthroplasty·Juan V Peralta-MoleroAlejandro González Della Valle
Mar 8, 2014·Clinics in Orthopedic Surgery·David N Conrad, Douglas A Dennis
May 2, 2014·Journal of Orthopaedic Surgery·Yan Ho TangHok Leung Wong
Aug 12, 2014·Journal of Orthopaedics·Patinharayil Gopinathan

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