Patellar Resurfacing Under Subvastus Approach in Total Knee Arthroplasty

The Catholic University of Korea

Status: Unknown

Conditions: Osteoarthritis, Patella Resurfacing

Treatments: Procedure: Patella resurfacing; Procedure: Patella retention

Study type: Interventional

Funder types: Other

Identifiers

NCT02683460

Patella resurfacing

Details and patient eligibility

About

This study aims to compare the clinical results of patella resurfacing or not under subvastus approach in total knee arthroplasty. Even though the excellent results of total knee arthroplasty(TKA), there is persistent controversy over whether or not to replace the patella. Anterior knee pain continued to be a unsolved problem of TKA patients. Some surgeons always performed patella resurfacing during total knee arthroplasty but the others didn't do that. It's up to surgeon's preference. There were several studies of patellar resurfacing or not in TKA. But previous studies almost have been done under other approach, not a subvastus approach.

This study prospectively randomized patients receiving bilateral TKA with patellar resurfacing or not in each knee. Patients preference and clinical results was investigated in both knee of same patients who received patellar resurfacing or not during minimum 2 year follow up.

Full description

The primary objective of this work was to compare pain, stiffness and function between groups at minimum 2 year postoperatively. Secondarily, we compared pain, patient preference at minimum 2 year postoperatively. The investigators hypothesized that there would be no difference between the two groups of subjects in the measured outcomes.

Patients receiving TKA were prospectively enrolled before surgery and randomized intraoperatively to either receive patella replacement or not in both knee of same patients. Subjects were assessed pre-operatively and at 6 months, 1, 2 years postoperatively for pain, function, and stiffness using a disease-specific (Western Ontario and McMaster Osteoarthritis Index [WOMAC]) . Other measurements like Knee Society score, Feller's score, Patient satisfaction (VAS) also checked pre-operatively and at 6 months, 1, 2 years postoperatively.

Enrollment: 100 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients for total knee arthroplasty
• Having medicare insurance

Exclusion criteria

• Patients who are not able to cooperate
• Serious deformity (not suitable for a standard TKA prosthesis)
• Patellar thickness less than 18 mm
• Prior operation involving the extensor mechanism
• Rheumatoid arthritis
• Severe medical disability limiting the ability to walk
• Revision surgery
• Knees with predominantly patellofemoral arthrosis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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100 participants in 2 patient groups

patella resurfacing group

Experimental group

Description:

Procedure: Patellar component Resurfacing with onlay technique

Treatment:

Procedure: Patella resurfacing

patella retention

Active Comparator group

Description:

Procedure: patellar retention Trimming of osteophytes when appropriate

Treatment:

Procedure: Patella retention