PMID- 32761276
OWN - NLM
STAT- MEDLINE
DCOM- 20210924
LR  - 20210924
IS  - 1433-7347 (Electronic)
IS  - 0942-2056 (Linking)
VI  - 29
IP  - 10
DP  - 2021 Oct
TI  - Patellar denervation does not reduce post-operative anterior knee pain after 
      primary total knee arthroplasty with patellar resurfacing.
PG  - 3346-3351
LID - 10.1007/s00167-020-06164-5 [doi]
AB  - PURPOSE: Anterior knee pain (AKP) is a frequent symptom after a total knee 
      arthroplasty (TKA). Patellar denervation (PD) has been put forth as a technique 
      to reduce this pain; however, its effects have not been assessed in combination 
      with patellar resurfacing. The aim of this study is to evaluate the effect of PD 
      on AKP and functional outcomes after TKA with patellar resurfacing. METHODS: A 
      prospective study was designed that included patients scheduled for TKA with 
      patellar resurfacing. The 202 recruited patients were randomized into either the 
      PD group or the non-denervation group [mean age 72.7 years (SD 8.2); 119 (70.4%) 
      women and 50 (29.6%) men; average body mass index 31.4 kg/m(2) (SD 4.9)]. 
      Pressure pain threshold (PPT) assessed by pressure algometry (PA), visual 
      analogue scale(VAS), patellofemoral Feller score and the Knee Society Scores 
      (KSS) were recorded preoperatively and at the 1-year follow-up. RESULTS: 169 
      patients were included in data analysis. At the 1-year follow-up, there were mild 
      differences between denervation and non-denervation group in PPT value (494.4 kPa 
      vs. 552.3 kPa, p = 0.047) and in VAS at stairs (2.9 vs. 1.5, p = 0.003) in favour 
      of the non-denervation group. There was no difference in the improvement between 
      groups in patellofemoral Feller score and KSS, but slightly higher improvement in 
      non-denervation group in PPT (94.1 kPa vs. 160 kPa, p = 0.047), VAS walking (5.3 
      vs. 6.2, p = 0.041) and VAS at stairs (4.6 vs. 5.7, p = 0.022). CONCLUSION: 
      Patellar denervation does not improve AKP and clinical outcomes in primary TKA 
      with patellar resurfacing compared to patellar replacement without denervation. 
      PD cannot be recommended when patellar replacement is performed in TKA. LEVEL OF 
      EVIDENCE: II.
CI  - (c) 2020. European Society of Sports Traumatology, Knee Surgery, Arthroscopy 
      (ESSKA).
FAU - Goicoechea, Nerea
AU  - Goicoechea N
AUID- ORCID: 0000-0002-2695-4086
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain. 62225@parcdesalutmar.cat.
FAU - Hinarejos, Pedro
AU  - Hinarejos P
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain.
FAU - Torres-Claramunt, Raul
AU  - Torres-Claramunt R
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain.
FAU - Leal-Blanquet, Joan
AU  - Leal-Blanquet J
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain.
FAU - Sanchez-Soler, Juan
AU  - Sanchez-Soler J
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain.
FAU - Monllau, Joan Carles
AU  - Monllau JC
AD  - Department of Orthopaedic Surgery, Parc de Salut Mar, Hospital de la Esperanza, 
      Universitat Autonoma de Barcelona, Sant Josep de la Muntanya 12, 08024, 
      Barcelona, Spain.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20200805
PL  - Germany
TA  - Knee Surg Sports Traumatol Arthrosc
JT  - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
JID - 9314730
SB  - IM
MH  - Aged
MH  - *Arthroplasty, Replacement, Knee/adverse effects
MH  - Denervation
MH  - Female
MH  - Humans
MH  - Knee Joint/surgery
MH  - Male
MH  - *Osteoarthritis, Knee/surgery
MH  - Pain
MH  - Pain, Postoperative/prevention & control
MH  - Patella/surgery
MH  - Prospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Anterior knee pain syndrome
OT  - Denervation
OT  - Knee replacement
OT  - Patella
OT  - Resurfacing
EDAT- 2020/08/08 06:00
MHDA- 2021/09/25 06:00
CRDT- 2020/08/08 06:00
PHST- 2020/05/06 00:00 [received]
PHST- 2020/07/14 00:00 [accepted]
PHST- 2020/08/08 06:00 [pubmed]
PHST- 2021/09/25 06:00 [medline]
PHST- 2020/08/08 06:00 [entrez]
AID - 10.1007/s00167-020-06164-5 [pii]
AID - 10.1007/s00167-020-06164-5 [doi]
PST - ppublish
SO  - Knee Surg Sports Traumatol Arthrosc. 2021 Oct;29(10):3346-3351. doi: 
      10.1007/s00167-020-06164-5. Epub 2020 Aug 5.