原创力文档a randomized controlled trial comparing patellar retention versus patellar resurfacing in primary total knee arthroplasty 5–10 year follow-up随机对照试验比较膝保留与膝重修的全膝关节置换术在初级5 - 10年的随访.pdfVIP
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a randomized controlled trial comparing patellar retention versus patellar resurfacing in primary total knee arthroplasty 5–10 year follow-up随机对照试验比较膝保留与膝重修的全膝关节置换术在初级5 - 10年的随访
Beaupre et al. BMC Research Notes 2012, 5:273
/1756-0500/5/273
RESEARCH ARTICLE Open Access
A Randomized controlled trial comparing patellar
retention versus patellar resurfacing in primary
total knee arthroplasty: 5–10 year follow-up
1* 2 2 2
Lauren Beaupre , Charles Secretan , DWC Johnston and Guy Lavoie
Abstract
Background: The primary purpose of this randomized controlled trial (RCT) was to compare knee-specific
outcomes (stiffness, pain, function) between patellar retention and resurfacing up to 10 years after primary total
knee arthroplasty (TKA). Secondarily, we compared re-operation rates.
Methods: 38 subjects with non-inflammatory arthritis were randomized at primary TKA surgery to receive patellar
resurfacing (n = 21; Resurfaced group) or to retain their native patella (n = 17; Non-resurfaced group). Evaluations
were performed preoperatively, one, five and 10 years postoperatively by an evaluator who was blinded to group
allocation. Self-reported knee-specific stiffness, pain and function, the primary outcomes, were measured by the
Western Ontario McMaster Osteoarthritis Index (WOMAC). Revision rate was determined at each evaluation and
through hospital record review.
Results: 30 (88%) and 23 (72%) of available subjects completed the five and 10-year review respectively. Knee-
specific scores continued to improve for both groups over the 10-years, despite diminishing overall health with no
significant group differences seen. All revisions occurred within five years of surgery (three Non-resurfaced subjects;
one Resurfaced subject) (p = 0.31). Two revisions in the Non-resurfaced group were due to persistent anterior knee
pain.
Conclusions: We found no differences in knee-specific results between groups a
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