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Volume 58
Issue 2
10.3390/medicina58020227
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Background:
Systematic Review

To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials

by
Alberto Delgado-González
1,
Juan José Morales-Viaji
1,
Jose Gregorio Arteaga-Hernández
1,
Ángela Larrosa-Arranz
1,
Guillerno Criado-Albillos
1,
Adoración del Pilar Martin-Rodríguez
1,
Maha Jahouh
2,*,
Josefa González-Santos
2,*,
Leticia Mendieta Díaz
1,
Carla Collazo Riobo
1,
Sara Calvo Simal
1 and
Jerónimo Javier González-Bernal
2
1
Traumatology and Orthopedic Surgery Department, Burgos University Hospital, 09006 Burgos, Spain
2
Department of Health Sciences, University of Burgos, 09001 Burgos, Spain
*
Authors to whom correspondence should be addressed.
Medicina 2022, 58(2), 227; https://doi.org/10.3390/medicina58020227
Submission received: 22 November 2021 / Revised: 26 January 2022 / Accepted: 29 January 2022 / Published: 2 February 2022
(This article belongs to the Special Issue Evolving Concepts in Knee Surgery)
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Abstract

Background and Objetives: Currently, total knee arthroplasty is one of the most common surgeries, increasing with the increase in life expectancy. Whether or not to replace the patella has been a subject of debate over the years, remaining in controversy and without reaching a consensus. Over the years, different meta-analyses have been carried out in order to provide evidence on the subject, although, in recent times, there have not been many new studies in this regard. Therefore, it is considered necessary that the latest works form part of a new meta-analysis. Materials and Method: We searched the literature using PUBMED, SCOPUS, the Cochrane database and VHL from 2010 to 2020. The search terms used were “patellar” AND “resurfacing” OR “Replacement” and “no resurfacing” OR “no replacement”. A meta-analysis was performed with Stata software (Stata version 15.1). Forest plots were generated to illustrate the overall effect of knee arthroplasty interventions. Results: As a result, it was obtained that there is a significantly higher risk of suffering AKP in the non-resurfacing group, in addition to a significant increase in the risk of undergoing a reoperation in the non-resurfacing group. On the other hand, significant differences were obtained in favor of the resurfacing group in both the clinical and Feller KSS, with functional KSS being inconclusive. After analyzing different variables throughout the literature, it does seem clear that the non-resurfacing group may present a higher risk of reoperation than the resurfacing group. Conclusions: For all these reasons, we think that, although it does seem that not replacing the patella can precipitate a reoperation, it is not clear whether this reoperation is a direct consequence of not having replaced the patella. Therefore, in our opinion, the treatment must be individualized for each patient.
Keywords: patella; knee; resurface; arthroplasty patella; knee; resurface; arthroplasty

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MDPI and ACS Style

Delgado-González, A.; Morales-Viaji, J.J.; Arteaga-Hernández, J.G.; Larrosa-Arranz, Á.; Criado-Albillos, G.; Martin-Rodríguez, A.d.P.; Jahouh, M.; González-Santos, J.; Mendieta Díaz, L.; Collazo Riobo, C.; et al. To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials. Medicina 2022, 58, 227. https://doi.org/10.3390/medicina58020227

AMA Style

Delgado-González A, Morales-Viaji JJ, Arteaga-Hernández JG, Larrosa-Arranz Á, Criado-Albillos G, Martin-Rodríguez AdP, Jahouh M, González-Santos J, Mendieta Díaz L, Collazo Riobo C, et al. To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials. Medicina. 2022; 58(2):227. https://doi.org/10.3390/medicina58020227

Chicago/Turabian Style

Delgado-González, Alberto, Juan José Morales-Viaji, Jose Gregorio Arteaga-Hernández, Ángela Larrosa-Arranz, Guillerno Criado-Albillos, Adoración del Pilar Martin-Rodríguez, Maha Jahouh, Josefa González-Santos, Leticia Mendieta Díaz, Carla Collazo Riobo, and et al. 2022. "To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials" Medicina 58, no. 2: 227. https://doi.org/10.3390/medicina58020227

APA Style

Delgado-González, A., Morales-Viaji, J. J., Arteaga-Hernández, J. G., Larrosa-Arranz, Á., Criado-Albillos, G., Martin-Rodríguez, A. d. P., Jahouh, M., González-Santos, J., Mendieta Díaz, L., Collazo Riobo, C., Calvo Simal, S., & González-Bernal, J. J. (2022). To Resurface or Not to Resurface the Patella in Total Knee Arthroplasty, That Is the Question: A Meta-Analysis of Randomized Controlled Trials. Medicina, 58(2), 227. https://doi.org/10.3390/medicina58020227

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