Bibliographic Details
| Title: |
Effect of patellofemoral joint overstuffing following total knee arthroplasty without patella resurfacing on clinical efficacy and related factors analysis |
| Authors: |
Feida Wang, Guohao Zhang, Xiaochun Wei |
| Source: |
Journal of Orthopaedic Surgery and Research, Vol 19, Iss 1, Pp 1-9 (2024) |
| Publisher Information: |
BMC, 2024. |
| Publication Year: |
2024 |
| Collection: |
LCC:Orthopedic surgery
LCC:Diseases of the musculoskeletal system |
| Subject Terms: |
Without patella resurfacing, Total knee arthroplasty, Patellofemoral joint, Overstuffing phenomenon, Influencing factors, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
| More Details: |
Abstract Objective To analyze the influencing factors for patellofemoral joint (PFJ) overstuffing following total knee arthroplasty (TKA) without patella resurfacing, and explore the effect of PFJ overstuffing on clinical efficacy. Methods A retrospective analysis was conducted on 168 patients with end-stage knee osteoarthritis who underwent TKA without patella resurfacing at our hospital between Match 2019 and September 2021. The clinical data of these patients were retrospectively analyzed. In this study, PFJ overstuffing was defined as a postoperative PFJ distance greater than 1 mm compared to the preoperative measurement. The occurrence of postoperative PFJ overstuffing was counted. The patients were divided into the overstuffing group (n = 109) and the non-overstuffing group (n = 59) to count the patellar thickness and thickness of femoral anterior condyle in all patients before and after surgery, and analyze the influencing factors for postoperative PFJ overstuffing in such patients. Patients were followed up for 2 years to compare the recovery time of postoperative pain, score of visual analogue scale (VAS) and flexion activity between the two groups. Results There was no significant difference in patellar thickness between preoperative and postoperative measurements of the patients (P > 0.05). However, the thickness of the femoral anterior condyle and the PFJ distance after surgery increased significantly compared with those before surgery (P 0.05). Spearman rank correlation analysis indicated females tend to have a lower preoperative thickness of the femoral anterior condyle (r=-0.424, P |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1749-799X |
| Relation: |
https://doaj.org/toc/1749-799X |
| DOI: |
10.1186/s13018-024-04899-2 |
| Access URL: |
https://doaj.org/article/c805f13e63ce46c285b9cbc81d9afa9d |
| Accession Number: |
edsdoj.805f13e63ce46c285b9cbc81d9afa9d |
| Database: |
Directory of Open Access Journals |
