Journal
JOURNAL OF ARTHROPLASTY
Volume 23, Issue 7, Pages 11-14Publisher
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2008.06.009
Keywords
primary knee arthroplasty; total knee arthroplasty; patella; resurfacing; evidence based
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Whether or not to resurface the patella in primary total knee arthroplasty remains controversial. Advocates for leaving the patella unresurfaced cite avoidance of complications that include patella fracture, avascular necrosis, patella tendon injury, and instability. Proponents of routine patella resurfacing cite the occasional need for secondary resurfacing procedures and the increased incidence of anterior knee pain in patients With Unresfaced patellae as a cause for concern with leaving a patella unresurfaced during knee arthroplasty. fit addition, some advocate selective patellar resurfacing based on patient factors such as quality of the articular cartilage and patellofemoral congruence at the time of Surgery. This review will discuss the available literature on patellar resurfacing through an evidence-based analysis.
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