Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty
Purpose Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated. Methods A 10-year follow-up of a cohort of 55 patients (63...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-08, Vol.24 (8), p.2656-2662 |
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| creator | van Houten, Albert H. Heesterbeek, Petra J. C. Wymenga, Ate B. |
| description | Purpose
Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated.
Methods
A 10-year follow-up of a cohort of 55 patients (63 TKAs), who received the balanSys™ cruciate-retaining total knee system (Mathys Ltd, Bettlach, Switzerland) between 1999 and 2002, was performed. Patients had undergone the balanced gap technique, with either a fixed bearing or an AP-glide bearing. Standardised diagnostic questions regarding AKP were collected and categorised into two groups: those with and without AKP. The lateral patellar tilt, patellar displacement measurement and modified Insall-Salvati ratio were used for patella position evaluation on skyline radiographs. The Knee Society Score (KSS), the Knee Osteoarthritis Outcome Score (KOOS) and Numerical Rating Scales (NRS) for pain and satisfaction were obtained at follow-up.
Results
Sixteen patients in the study population experienced AKP. Incidence of AKP (fixed bearing 13/44; AP-glide bearing baring 3/17) was not dependent on type of insert (n.s.). There were no statistical differences in patella position and tibiofemoral contact point between the AKP group and the no AKP group (n.s.). KSS, KOOS, NRS-pain and NRS-satisfaction were significantly lower for the patients with AKP (all
p
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| doi_str_mv | 10.1007/s00167-015-3930-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1811876538</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4145723101</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-fa53743e81410cb454d5e86f4b29434192ef82c8d89a87e259484a0cbfd9a0d13</originalsourceid><addsrcrecordid>eNqNkc-KFDEQh4Mo7uzqA3iRgBcvrZU_3UmOsqyusKAHPYea7uq1156kN8kcZp_GZ_HJzNiriCB4qoL66lcUH2PPBLwSAOZ1BhCdaUC0jXIKmrsHbCO0Uo1R2jxkG3BaNhLa7oSd5nwDUFvtHrMT2RnQxskNu_2IheYZ-RLzVKYY-JR5iIUjH6hQ2k0BQ-FjTLxWSlNtvgYivuAUuIDv3w6EKXMc65BvccbQ08CvceElFpxXGFP5kuIyYy6HJ-zRiHOmp_f1jH1-e_Hp_LK5-vDu_fmbq6bX0JZmxFYZrcgKLaDf6lYPLdlu1FvptNLCSRqt7O1gHVpDsnXaaqzkODiEQagz9nLNXVK83VMufjfl_vhroLjPXlghrOlaZf8DBduB0q2s6Iu_0Ju4T6E-8jMQlAFjKiVWqk8x50SjX9K0w3TwAvxRnV_V-arOH9X5u7rz_D55v93R8Hvjl6sKyBXIdRSuKf1x-p-pPwCOGaSO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1811037077</pqid></control><display><type>article</type><title>Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Springer Nature - Complete Springer Journals</source><creator>van Houten, Albert H. ; Heesterbeek, Petra J. C. ; Wymenga, Ate B.</creator><creatorcontrib>van Houten, Albert H. ; Heesterbeek, Petra J. C. ; Wymenga, Ate B.</creatorcontrib><description>Purpose
Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated.
Methods
A 10-year follow-up of a cohort of 55 patients (63 TKAs), who received the balanSys™ cruciate-retaining total knee system (Mathys Ltd, Bettlach, Switzerland) between 1999 and 2002, was performed. Patients had undergone the balanced gap technique, with either a fixed bearing or an AP-glide bearing. Standardised diagnostic questions regarding AKP were collected and categorised into two groups: those with and without AKP. The lateral patellar tilt, patellar displacement measurement and modified Insall-Salvati ratio were used for patella position evaluation on skyline radiographs. The Knee Society Score (KSS), the Knee Osteoarthritis Outcome Score (KOOS) and Numerical Rating Scales (NRS) for pain and satisfaction were obtained at follow-up.
Results
Sixteen patients in the study population experienced AKP. Incidence of AKP (fixed bearing 13/44; AP-glide bearing baring 3/17) was not dependent on type of insert (n.s.). There were no statistical differences in patella position and tibiofemoral contact point between the AKP group and the no AKP group (n.s.). KSS, KOOS, NRS-pain and NRS-satisfaction were significantly lower for the patients with AKP (all
p
< 0.05).
Conclusion
Twenty-six percentage of the patients experienced AKP 10 years after balanced gap TKA. Postoperative patella positioning was not found to be a determinant for anterior knee pain after TKA. However, patellar displacement does not seem completely favourable. Moreover, type of bearing was not found a determinant for AKP at long-term follow-up.
Level of evidence
Lower quality prospective cohort study (<80 % follow-up, patients enrolled at different time points in disease), Level II.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-015-3930-z</identifier><identifier>PMID: 26704792</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthritis ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - methods ; Female ; Follow-Up Studies ; Humans ; Joint replacement surgery ; Kinematics ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Male ; Measurement techniques ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - diagnostic imaging ; Osteoarthritis, Knee - surgery ; Pain ; Pain, Postoperative - etiology ; Patella - surgery ; Patients ; Prospective Studies ; Prostheses ; Radiography ; Treatment Outcome</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-08, Vol.24 (8), p.2656-2662</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-fa53743e81410cb454d5e86f4b29434192ef82c8d89a87e259484a0cbfd9a0d13</citedby><cites>FETCH-LOGICAL-c405t-fa53743e81410cb454d5e86f4b29434192ef82c8d89a87e259484a0cbfd9a0d13</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/s00167-015-3930-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-015-3930-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26704792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Houten, Albert H.</creatorcontrib><creatorcontrib>Heesterbeek, Petra J. C.</creatorcontrib><creatorcontrib>Wymenga, Ate B.</creatorcontrib><title>Patella position is not a determinant for anterior knee pain 10 years after balanced gap 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
Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated.
Methods
A 10-year follow-up of a cohort of 55 patients (63 TKAs), who received the balanSys™ cruciate-retaining total knee system (Mathys Ltd, Bettlach, Switzerland) between 1999 and 2002, was performed. Patients had undergone the balanced gap technique, with either a fixed bearing or an AP-glide bearing. Standardised diagnostic questions regarding AKP were collected and categorised into two groups: those with and without AKP. The lateral patellar tilt, patellar displacement measurement and modified Insall-Salvati ratio were used for patella position evaluation on skyline radiographs. The Knee Society Score (KSS), the Knee Osteoarthritis Outcome Score (KOOS) and Numerical Rating Scales (NRS) for pain and satisfaction were obtained at follow-up.
Results
Sixteen patients in the study population experienced AKP. Incidence of AKP (fixed bearing 13/44; AP-glide bearing baring 3/17) was not dependent on type of insert (n.s.). There were no statistical differences in patella position and tibiofemoral contact point between the AKP group and the no AKP group (n.s.). KSS, KOOS, NRS-pain and NRS-satisfaction were significantly lower for the patients with AKP (all
p
< 0.05).
Conclusion
Twenty-six percentage of the patients experienced AKP 10 years after balanced gap TKA. Postoperative patella positioning was not found to be a determinant for anterior knee pain after TKA. However, patellar displacement does not seem completely favourable. Moreover, type of bearing was not found a determinant for AKP at long-term follow-up.
Level of evidence
Lower quality prospective cohort study (<80 % follow-up, patients enrolled at different time points in disease), Level II.</description><subject>Aged</subject><subject>Arthritis</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Measurement techniques</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Pain</subject><subject>Pain, Postoperative - etiology</subject><subject>Patella - surgery</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Prostheses</subject><subject>Radiography</subject><subject>Treatment Outcome</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc-KFDEQh4Mo7uzqA3iRgBcvrZU_3UmOsqyusKAHPYea7uq1156kN8kcZp_GZ_HJzNiriCB4qoL66lcUH2PPBLwSAOZ1BhCdaUC0jXIKmrsHbCO0Uo1R2jxkG3BaNhLa7oSd5nwDUFvtHrMT2RnQxskNu_2IheYZ-RLzVKYY-JR5iIUjH6hQ2k0BQ-FjTLxWSlNtvgYivuAUuIDv3w6EKXMc65BvccbQ08CvceElFpxXGFP5kuIyYy6HJ-zRiHOmp_f1jH1-e_Hp_LK5-vDu_fmbq6bX0JZmxFYZrcgKLaDf6lYPLdlu1FvptNLCSRqt7O1gHVpDsnXaaqzkODiEQagz9nLNXVK83VMufjfl_vhroLjPXlghrOlaZf8DBduB0q2s6Iu_0Ju4T6E-8jMQlAFjKiVWqk8x50SjX9K0w3TwAvxRnV_V-arOH9X5u7rz_D55v93R8Hvjl6sKyBXIdRSuKf1x-p-pPwCOGaSO</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>van Houten, Albert H.</creator><creator>Heesterbeek, Petra J. C.</creator><creator>Wymenga, Ate B.</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>20160801</creationdate><title>Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty</title><author>van Houten, Albert H. ; Heesterbeek, Petra J. C. ; Wymenga, Ate B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-fa53743e81410cb454d5e86f4b29434192ef82c8d89a87e259484a0cbfd9a0d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Arthritis</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint replacement surgery</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Measurement techniques</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - diagnostic imaging</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Pain</topic><topic>Pain, Postoperative - etiology</topic><topic>Patella - surgery</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Prostheses</topic><topic>Radiography</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Houten, Albert H.</creatorcontrib><creatorcontrib>Heesterbeek, Petra J. 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C.</au><au>Wymenga, Ate B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patella position is not a determinant for anterior knee pain 10 years after balanced gap 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>2016-08-01</date><risdate>2016</risdate><volume>24</volume><issue>8</issue><spage>2656</spage><epage>2662</epage><pages>2656-2662</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Incidence of anterior knee pain after total knee arthroplasty (TKA) is reported to be between 4 and 49 %. The incidence of AKP at long-term follow-up and possible determinants after cruciate cruciate-retaining TKA were investigated.
Methods
A 10-year follow-up of a cohort of 55 patients (63 TKAs), who received the balanSys™ cruciate-retaining total knee system (Mathys Ltd, Bettlach, Switzerland) between 1999 and 2002, was performed. Patients had undergone the balanced gap technique, with either a fixed bearing or an AP-glide bearing. Standardised diagnostic questions regarding AKP were collected and categorised into two groups: those with and without AKP. The lateral patellar tilt, patellar displacement measurement and modified Insall-Salvati ratio were used for patella position evaluation on skyline radiographs. The Knee Society Score (KSS), the Knee Osteoarthritis Outcome Score (KOOS) and Numerical Rating Scales (NRS) for pain and satisfaction were obtained at follow-up.
Results
Sixteen patients in the study population experienced AKP. Incidence of AKP (fixed bearing 13/44; AP-glide bearing baring 3/17) was not dependent on type of insert (n.s.). There were no statistical differences in patella position and tibiofemoral contact point between the AKP group and the no AKP group (n.s.). KSS, KOOS, NRS-pain and NRS-satisfaction were significantly lower for the patients with AKP (all
p
< 0.05).
Conclusion
Twenty-six percentage of the patients experienced AKP 10 years after balanced gap TKA. Postoperative patella positioning was not found to be a determinant for anterior knee pain after TKA. However, patellar displacement does not seem completely favourable. Moreover, type of bearing was not found a determinant for AKP at long-term follow-up.
Level of evidence
Lower quality prospective cohort study (<80 % follow-up, patients enrolled at different time points in disease), Level II.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26704792</pmid><doi>10.1007/s00167-015-3930-z</doi><tpages>7</tpages></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-08, Vol.24 (8), p.2656-2662 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Springer Nature - Complete Springer Journals |
| subjects | Aged Arthritis Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - methods Female Follow-Up Studies Humans Joint replacement surgery Kinematics Knee Knee Joint - diagnostic imaging Knee Joint - surgery Male Measurement techniques Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Knee - diagnostic imaging Osteoarthritis, Knee - surgery Pain Pain, Postoperative - etiology Patella - surgery Patients Prospective Studies Prostheses Radiography Treatment Outcome |
| title | Patella position is not a determinant for anterior knee pain 10 years after balanced gap total knee arthroplasty |
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