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Are short term outcomes superior following total knee arthroplasty when infra-patellar fat pad is resected? A systematic review and meta-analysis.
Walker, Hugo; Rao, Arya; Tsimiklis, James; Smitham, Peter.
Afiliación
  • Walker H; Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building, Adelaide, South Australia, Australia.
  • Rao A; Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building, Adelaide, South Australia, Australia.
  • Tsimiklis J; Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building, Adelaide, South Australia, Australia.
  • Smitham P; Health and Medical Sciences, University of Adelaide, Adelaide Health and Medical Sciences Building, Adelaide, South Australia, Australia.
ANZ J Surg ; 94(7-8): 1234-1239, 2024.
Article en En | MEDLINE | ID: mdl-38982806
ABSTRACT

BACKGROUND:

Data suggests the infra-patellar fat pad (IPFP) is resected in the majority of total knee arthroplasty cases. Current literature suggests there may be scope for increasing preservations rates. A systematic review and meta-analysis of available literature was performed to assess if resection of IPFP resulted in superior patient outcomes.

METHODS:

Scopus, PubMed, Cochrane, Embase and CINAHL were systematically searched in February 2024 for articles of relevance and meta-analysis conducted. A standardized mean difference and confidence interval of 95% was calculated. An odds ratio was calculated for all included datasets. Heterogeneity was assessed for using the I2 statistic.

RESULTS:

Thirteen studies were included within this review. IPFP resection shortened the patella tendon at 6 months post-operatively (OR, 0.07; 95% CI, 0.02-0.12, P = 0.006). Results favoured preservation at 12 months post-operatively (OR, 0.02; 95% CI, -0.02 to 0.06, P = 0.32). Oxford Knee Society (OKS) results statistically favoured preservation at 6 months (OR, 1.57; 95% CI, 0.74-2.39, P = 0.0002). Findings at 12 months favoured resection (OR, -0.49; 95% CI, -5.39, 4.41, P = 0.84). Resection increased anterior knee pain at 6-12 months post-operatively (OR, 1.45; 95% CI, 1.12-1.89, P = 0.005). Combined subgroup analysis of flexion favoured resection (OR, -2.15; 95% CI, -6.52 to 2.22, P = 0.34).

CONCLUSION:

OKS and patella tendon length results favoured preservation at 6 months however did not reach minimal clinically important difference. Combined subgroup analysis of flexion did not yield a statistically significant result. Rates of anterior knee pain at 6-12 months favoured preservation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rótula / Tejido Adiposo / Artroplastia de Reemplazo de Rodilla Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Rótula / Tejido Adiposo / Artroplastia de Reemplazo de Rodilla Límite: Humans Idioma: En Revista: ANZ J Surg Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia