Journal article

The need for patellar resurfacing in total knee arthroplasty: a literature review

John D Swan, James D Stoney, Keith Lim, Michelle M Dowsey, Peter FM Choong

ANZ JOURNAL OF SURGERY | WILEY | Published : 2010

Abstract

The controversy over whether or not to routinely resurface the patella during a total knee arthroplasty has persisted despite three decades of successful joint replacement procedures. Advocates for routine patellar resurfacing admit the occasional need for secondary patellar resurfacing and declare increased incidence of anterior knee pain in patients with non-resurfaced patellae as a cause for worry. Surgeons that leave the patella unresurfaced cite avoidance of complications that include patellar fracture, avascular necrosis, patellar tendon injury and instability. This review discusses the available literature on patellar resurfacing through an evidence-based analysis of randomized and ps..

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