2025, Number 2
<< Back Next >>
Acta Ortop Mex 2025; 39 (2)
Functional outcomes in postoperative total knee arthroplasty with patella denervation compared to no denervation
Martínez-Singüenza J, Páez-García A, Sánchez-Naranjo A, Cordero G
Language: Spanish
References: 17
Page: 65-70
PDF size: 233.49 Kb.
ABSTRACT
Introduction: knee arthroplasty can generate complications, but a benefit in quality of life. The objective of this research was to determine the functional results in patients with total knee arthroplasty with denervation of prosthetic patella compared to no denervation.
Material and methods: a prospective and longitudinal study was performed in patients who underwent total knee arthroplasty during March 2021 to September 2021, applying questionnaires with knee functional scales, such as KSS which evaluates knee functional outcomes. Data were analyzed using descriptive and inferential statistics with Mann Whitney U test.
Results: a total of 119 postoperative total knee arthroplasty patients were stratified: group 1 (with prosthetic patella denervation with 57 members (48% of the total)) and group 2 (without patella denervation with 62 members (52% of the total)). Pain assessment with KSS scale was 41.6 points for group 1 and 41 points for group 2. The evaluation of range of motion with KSS scale was 19.7 ± 3.2 points for group 1, and 18.9 ± 3 points for group 2; use of stairs in group 1 with 35.5 ± 5.6 points and without group 2 with 35 ± 5 points, help in walking 5.8 points in group 1 and 5.7 for group 2.
Conclusion: no significant differences were observed in the functional results in post-surgical total knee arthroplasty patients with denervation of the prosthetic patella compared to no denervation.
REFERENCES
Ramamurti P, Fassihi SC, Stake S, Stadecker M, Whiting Z, Thakkar SC. Conversion total knee arthroplasty. JBJS Rev. 2021; 9(9). doi: 10.2106/JBJS.RVW.20.00198.
Alrawashdeh W, Eschweiler J, Migliorini F, El Mansy Y, Tingart M, Rath B. Effectiveness of total knee arthroplasty rehabilitation programmes: a systematic review and meta-analysis. J Rehabil Med. 2021; 53(6): jrm00200. doi: 10.2340/16501977-2827.
Baliga S, McNair CJ, Barnett KJ, MacLeod J, Humphry RW, Finlayson D. Does circumpatellar electrocautery improve the outcome after total knee replacement?: a prospective, randomised, blinded controlled trial. J Bone Joint Surg Br. 2012; 94(9): 1228-33.
Li JW, Ma YS, Xiao LK. Postoperative pain management in total knee arthroplasty. Orthop Surg. 2019; 11(5): 755-761. doi: 10.1111/os.12535.
Churchill L, John Bade M, Koonce RC, Stevens-Lapsley JE, Bandholm T. The past and future of peri-operative interventions to reduce arthrogenic quadriceps muscle inhibition after total knee arthroplasty: A narrative review. Osteoarthr Cartil Open. 2023; 6(1): 100429. doi: 10.1016/j.ocarto.2023.100429.
Lee WC, Kwan YH, Chong HC, Yeo SJ. The minimal clinically important difference for Knee Society Clinical Rating System after total knee arthroplasty for primary osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2017; 25(11): 3354-3359. doi: 10.1007/s00167-016-4208-9.
Espinosa MR, Alcántar Ramírez J, Arce Salinas CA, et al. Reunión multidisciplinaria de expertos para el diagnóstico y tratamiento de la osteoartritis. Actualización basada en evidencias. Med Interna Méx. 2018; 34(3): 443-476.
Yang QF, Lin ZM, Yang S, Wang PK, Chen R, Wang J. Incidence and risk factors of in-hospital prosthesis-related complications following total knee arthroplasty: a retrospective nationwide inpatient sample database study. Orthop Surg. 2021; 13(5): 1579-1586. doi: 10.1111/os.13008.
Charles-Lozoya S, Cobos-Aguilar H, Tamez-Montes JC, Brizuela-Ventura JM, Rangel-Valenzuela JM, García-Hernández A. Obesidad, depresión y factores asociados a la calidad de vida en artroplastía total de rodilla. Cir Cir. 2020; 88(2): 143-149.
Peralta-Cortez DE, Merizalde Flores JM, García-Cedeño JR, Cortez Valencia HI, Dávila-Contreras MJ, Chui Ordeñana ME, et al. Descripción de los pacientes con artroplastía total de rodilla en un hospital de Guayaquil-Ecuador. 2011-2013. Archivos Venezolanos de Farmacología y Terapéutica. 2018; 37(4): 378-389.
Goh GS, Bin Abd Razak HR, Tay DK, Chia SL, Lo NN, Yeo SJ. Unicompartmental knee arthroplasty achieves greater flexion with no difference in functional outcome, quality of life, and satisfaction vs total knee arthroplasty in patients younger than 55 years. A propensity score-matched cohort analysis. J Arthroplasty. 2018; 33(2):355-361.
Álvarez LA, Soto-Carrasco SR, García LYC, Camacho ÁA Denervación artroscópica de la rótula. Rev Arch Med Camagüey. 2018; 22(3): 393-402.
Dellon AL, Mont MA. Partial denervation for the treatment of painful neuromas complicating total knee replacement. En: Scott WN, editor. Insall & Scott Surgery of the knee. 5th ed. Philadelphia: Elsevier; 2012. p. e76-1.
Vega J, Golanó P, Pérez-Carro L. Electrosurgical arthroscopic patellar denervation. Arthroscopy. 2006; 22(9): 1028.e1-3.
Spencer BA, Cherian JJ, Margetas G, Chughtai M, Harwin SF, Elmallah RK, et al. Patellar resurfacing versus circumferential denervation of the patella in total knee arthroplasty. Orthopedics. 2016; 39(5): e1019-23.
Escribano-Rueda LC, Bau-González A, Parra-Sánchez G, Sánchez-Gutiérrez S, Mota-Blanco S. Denervación artroscópica de la rótula en pacientes de mediana edad. Cuad Artroscop. 2013; 20(1): 33-8.
Castellet-Feliu E, Vidal N, Conesa X. Escalas de valoración en cirugía ortopédica y traumatología. Trauma. 2010; 21(S1): 34-43.
EVIDENCE LEVEL
II