Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?
Purpose The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy. Methods The electronic databases PubMed,...
Gespeichert in:
| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2015-06, Vol.23 (6), p.1808-1815 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1815 |
|---|---|
| container_issue | 6 |
| container_start_page | 1808 |
| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 23 |
| creator | Xie, XiaoWei Pei, FuXing Huang, ZeYu Tan, Zhen Yang, Zhouyuan Kang, PengDe |
| description | Purpose
The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy.
Methods
The electronic databases PubMed, Web of Science, Embase, and Cochrane Library were systematically searched. Of 374 papers identified, seven randomised controlled trials involving 898 patients (983 knees) were eligible for data extraction and meta-analysis.
Results
Analysis showed that patellar denervation can significantly improve clinical outcomes for the first 12 months of follow-up after TKA, including anterior knee pain incidence (
P
= 0.008), visual analogue scale score (
P
|
| doi_str_mv | 10.1007/s00167-015-3566-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1682892235</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3690316171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-f7f7556aec6b7079621a2f6de2f53f36001f709401e3dcb10edbdc25b755a5743</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMoOo7-ADdScOMmmkeTtCsR3yC40XVI2xutdpqapIL-ejN2FBFcJdz7nZOcg9AeJUeUEHUcCKFSYUIF5kJK_LGGZjTnHCueq3U0I2XOMCNCbqHtEJ4JSde83ERbTChRlAWbIXPuIGSDidB1xmcN9ODfTGxdn3loxhqywYWI3QA-Td8gM30E3zqfvfSQlqbtM2PTKIsumm6aGh-fvBs6E-L7yQ7asKYLsLs65-jh8uL-7Brf3l3dnJ3e4porFrFVVgkhDdSyUkSVklHDrGyAWcEtlymqVSkQocCbuqIEmqqpmaiSygiV8zk6nHwH715HCFEv2lAvY_XgxqCpLFhRMsZFQg_-oM9u9H363RdFBVOFShSdqNq7EDxYPfh2Yfy7pkQv-9dT_zr1r5f964-k2V85j9UCmh_Fd-EJYBMQ0qp_BP_r6X9dPwGR8ZGk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1682152787</pqid></control><display><type>article</type><title>Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Springer Nature - Complete Springer Journals</source><creator>Xie, XiaoWei ; Pei, FuXing ; Huang, ZeYu ; Tan, Zhen ; Yang, Zhouyuan ; Kang, PengDe</creator><creatorcontrib>Xie, XiaoWei ; Pei, FuXing ; Huang, ZeYu ; Tan, Zhen ; Yang, Zhouyuan ; Kang, PengDe</creatorcontrib><description>Purpose
The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy.
Methods
The electronic databases PubMed, Web of Science, Embase, and Cochrane Library were systematically searched. Of 374 papers identified, seven randomised controlled trials involving 898 patients (983 knees) were eligible for data extraction and meta-analysis.
Results
Analysis showed that patellar denervation can significantly improve clinical outcomes for the first 12 months of follow-up after TKA, including anterior knee pain incidence (
P
= 0.008), visual analogue scale score (
P
< 0.001), patellar score (
P
< 0.001), Knee Society Score (
P
= 0.03), Knee Society Score function score (
P
= 0.03), and knee range of motion (
P
= 0.008). However, no statistical significance in outcomes was found between the patellar denervation group and no-denervation group for any of those parameters after 12 months of follow-up.
Conclusion
The best currently available evidence suggests that patellar denervation can significantly reduce anterior knee pain incidence and improve early clinical outcomes after TKA. However, after a prolonged period of follow-up, this advantage seems to disappear. Even so, the use of patellar denervation in primary TKA is recommended because it is safe and produces good early clinical outcomes.
Level of evidence
Therapeutic study, Level II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-015-3566-z</identifier><identifier>PMID: 25758982</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Arthroplasty, Replacement, Knee ; Clinical outcomes ; Denervation ; Humans ; Joint replacement surgery ; Knee ; Medicine ; Medicine & Public Health ; Meta-analysis ; Orthopedics ; Osteoarthritis, Knee - surgery ; Pain ; Pain, Postoperative - prevention & control ; Patella - innervation ; Patella - surgery ; Patient satisfaction ; Quality of life ; Systematic review ; Visual Analog Scale</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-06, Vol.23 (6), p.1808-1815</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f7f7556aec6b7079621a2f6de2f53f36001f709401e3dcb10edbdc25b755a5743</citedby><cites>FETCH-LOGICAL-c372t-f7f7556aec6b7079621a2f6de2f53f36001f709401e3dcb10edbdc25b755a5743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-015-3566-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-015-3566-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25758982$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xie, XiaoWei</creatorcontrib><creatorcontrib>Pei, FuXing</creatorcontrib><creatorcontrib>Huang, ZeYu</creatorcontrib><creatorcontrib>Tan, Zhen</creatorcontrib><creatorcontrib>Yang, Zhouyuan</creatorcontrib><creatorcontrib>Kang, PengDe</creatorcontrib><title>Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy.
Methods
The electronic databases PubMed, Web of Science, Embase, and Cochrane Library were systematically searched. Of 374 papers identified, seven randomised controlled trials involving 898 patients (983 knees) were eligible for data extraction and meta-analysis.
Results
Analysis showed that patellar denervation can significantly improve clinical outcomes for the first 12 months of follow-up after TKA, including anterior knee pain incidence (
P
= 0.008), visual analogue scale score (
P
< 0.001), patellar score (
P
< 0.001), Knee Society Score (
P
= 0.03), Knee Society Score function score (
P
= 0.03), and knee range of motion (
P
= 0.008). However, no statistical significance in outcomes was found between the patellar denervation group and no-denervation group for any of those parameters after 12 months of follow-up.
Conclusion
The best currently available evidence suggests that patellar denervation can significantly reduce anterior knee pain incidence and improve early clinical outcomes after TKA. However, after a prolonged period of follow-up, this advantage seems to disappear. Even so, the use of patellar denervation in primary TKA is recommended because it is safe and produces good early clinical outcomes.
Level of evidence
Therapeutic study, Level II.</description><subject>Arthroplasty, Replacement, Knee</subject><subject>Clinical outcomes</subject><subject>Denervation</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Pain</subject><subject>Pain, Postoperative - prevention & control</subject><subject>Patella - innervation</subject><subject>Patella - surgery</subject><subject>Patient satisfaction</subject><subject>Quality of life</subject><subject>Systematic review</subject><subject>Visual Analog Scale</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEtLxDAUhYMoOo7-ADdScOMmmkeTtCsR3yC40XVI2xutdpqapIL-ejN2FBFcJdz7nZOcg9AeJUeUEHUcCKFSYUIF5kJK_LGGZjTnHCueq3U0I2XOMCNCbqHtEJ4JSde83ERbTChRlAWbIXPuIGSDidB1xmcN9ODfTGxdn3loxhqywYWI3QA-Td8gM30E3zqfvfSQlqbtM2PTKIsumm6aGh-fvBs6E-L7yQ7asKYLsLs65-jh8uL-7Brf3l3dnJ3e4porFrFVVgkhDdSyUkSVklHDrGyAWcEtlymqVSkQocCbuqIEmqqpmaiSygiV8zk6nHwH715HCFEv2lAvY_XgxqCpLFhRMsZFQg_-oM9u9H363RdFBVOFShSdqNq7EDxYPfh2Yfy7pkQv-9dT_zr1r5f964-k2V85j9UCmh_Fd-EJYBMQ0qp_BP_r6X9dPwGR8ZGk</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Xie, XiaoWei</creator><creator>Pei, FuXing</creator><creator>Huang, ZeYu</creator><creator>Tan, Zhen</creator><creator>Yang, Zhouyuan</creator><creator>Kang, PengDe</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?</title><author>Xie, XiaoWei ; Pei, FuXing ; Huang, ZeYu ; Tan, Zhen ; Yang, Zhouyuan ; Kang, PengDe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-f7f7556aec6b7079621a2f6de2f53f36001f709401e3dcb10edbdc25b755a5743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Arthroplasty, Replacement, Knee</topic><topic>Clinical outcomes</topic><topic>Denervation</topic><topic>Humans</topic><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Pain</topic><topic>Pain, Postoperative - prevention & control</topic><topic>Patella - innervation</topic><topic>Patella - surgery</topic><topic>Patient satisfaction</topic><topic>Quality of life</topic><topic>Systematic review</topic><topic>Visual Analog Scale</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xie, XiaoWei</creatorcontrib><creatorcontrib>Pei, FuXing</creatorcontrib><creatorcontrib>Huang, ZeYu</creatorcontrib><creatorcontrib>Tan, Zhen</creatorcontrib><creatorcontrib>Yang, Zhouyuan</creatorcontrib><creatorcontrib>Kang, PengDe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xie, XiaoWei</au><au>Pei, FuXing</au><au>Huang, ZeYu</au><au>Tan, Zhen</au><au>Yang, Zhouyuan</au><au>Kang, PengDe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty?</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>23</volume><issue>6</issue><spage>1808</spage><epage>1815</epage><pages>1808-1815</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The effectiveness of patellar denervation in reducing anterior knee pain and improving patient satisfaction and quality of life after total knee arthroplasty (TKA) is still controversial. A meta-analysis was conducted to try to settle the controversy.
Methods
The electronic databases PubMed, Web of Science, Embase, and Cochrane Library were systematically searched. Of 374 papers identified, seven randomised controlled trials involving 898 patients (983 knees) were eligible for data extraction and meta-analysis.
Results
Analysis showed that patellar denervation can significantly improve clinical outcomes for the first 12 months of follow-up after TKA, including anterior knee pain incidence (
P
= 0.008), visual analogue scale score (
P
< 0.001), patellar score (
P
< 0.001), Knee Society Score (
P
= 0.03), Knee Society Score function score (
P
= 0.03), and knee range of motion (
P
= 0.008). However, no statistical significance in outcomes was found between the patellar denervation group and no-denervation group for any of those parameters after 12 months of follow-up.
Conclusion
The best currently available evidence suggests that patellar denervation can significantly reduce anterior knee pain incidence and improve early clinical outcomes after TKA. However, after a prolonged period of follow-up, this advantage seems to disappear. Even so, the use of patellar denervation in primary TKA is recommended because it is safe and produces good early clinical outcomes.
Level of evidence
Therapeutic study, Level II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25758982</pmid><doi>10.1007/s00167-015-3566-z</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015-06, Vol.23 (6), p.1808-1815 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1682892235 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Arthroplasty, Replacement, Knee Clinical outcomes Denervation Humans Joint replacement surgery Knee Medicine Medicine & Public Health Meta-analysis Orthopedics Osteoarthritis, Knee - surgery Pain Pain, Postoperative - prevention & control Patella - innervation Patella - surgery Patient satisfaction Quality of life Systematic review Visual Analog Scale |
| title | Does patellar denervation reduce post-operative anterior knee pain after total knee arthroplasty? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T14%3A44%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20patellar%20denervation%20reduce%20post-operative%20anterior%20knee%20pain%20after%20total%20knee%20arthroplasty?&rft.jtitle=Knee%20surgery,%20sports%20traumatology,%20arthroscopy%20:%20official%20journal%20of%20the%20ESSKA&rft.au=Xie,%20XiaoWei&rft.date=2015-06-01&rft.volume=23&rft.issue=6&rft.spage=1808&rft.epage=1815&rft.pages=1808-1815&rft.issn=0942-2056&rft.eissn=1433-7347&rft_id=info:doi/10.1007/s00167-015-3566-z&rft_dat=%3Cproquest_cross%3E3690316171%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1682152787&rft_id=info:pmid/25758982&rfr_iscdi=true |