Academic Journal
A Novel Infrapatellar Fat Pad Preservation Technique in Total Knee Arthroplasty Reduced Postoperative Pain and Wound Complications
| Title: | A Novel Infrapatellar Fat Pad Preservation Technique in Total Knee Arthroplasty Reduced Postoperative Pain and Wound Complications |
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| Authors: | Chaofan Zhang, Zeyu Zhang, Yunzhi Lin, Yishan Xin, Hongyan Li, Yiming Lin, Ying Huang, Ye Yang, Guochang Bai, Zida Huang, Xinyu Fang, Wenbo Li, Wenming Zhang |
| Source: | Orthopaedic Surgery, Vol 16, Iss 8, Pp 1946-1954 (2024) |
| Publisher Information: | Wiley, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Orthopedic surgery |
| Subject Terms: | Infrapatellar fat pad (IPFP), Pain, Periprosthetic joint infection, Total knee arthroplasty (TKA), Wound oozing, Orthopedic surgery, RD701-811 |
| More Details: | Objective The management of the infrapatellar fat pad (IPFP) during total knee arthroplasty (TKA) remains controversial. This study aimed to evaluate a novel IPFP preservation technique—“the medially pedicled IPFP flap”—for reducing postoperative pain, wound complications, and improving functional recovery after TKA. Methods A retrospective analysis was conducted on TKA cases at our institution from 2018 to 2021, including those with IPFP preservation (medially pedicled flap) versus IPFP complete resection. Patient demographics, perioperative parameters (blood loss, operative time, length of hospital stay, visual analogue scale [VAS] score, white cell count [WBC], C‐reactive protein [CRP], erythrocyte sedimentation rate [ESR], and wound oozing), and postoperative follow‐up data (VAS, Knee Society [KSS], or Knee Society functional assessment [KSFA] scores) were compared between groups. Independent sample t‐tests were used to compare continuous data and chi‐squared tests were used to compare categorical data between groups. Results Six hundred thirty patients were included, with 278 in the medial pedicled IPFP flap group (preservation group) and 352 in the IPFP resection group (resection group). The operative time was significantly shorter in the preservation versus resection group (125.5 ± 23.2 vs 130.3 ± 28.7 mins, p = 0.03), as was the length of hospital stay (8.4 ± 2.7 vs 9.2 ± 2.3 days, p |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1757-7861 1757-7853 |
| Relation: | https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861 |
| DOI: | 10.1111/os.14137 |
| Access URL: | https://doaj.org/article/c830069b39de470286da6a8b41f5c845 |
| Accession Number: | edsdoj.830069b39de470286da6a8b41f5c845 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17577861 17577853 |
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| DOI: | 10.1111/os.14137 |
| Published in: | Orthopaedic Surgery |
| Language: | English |