Comparative analysis of functional outcome in patients who undergo total knee arthroplasty with or without patellar resurfacing

Manvinder Singh; Rajnish Garg; Pankaj Mahindra; Sheriesh Aggarwal

doi:10.53730/ijhs.v6nS3.5624

Authors

Manvinder Singh
drmanvinder@ymail.com
Junior resident, Department of Orthopedics, Dayanand Medical College, Ludhiana, Punjab, India
Rajnish Garg Professor and head, Department of Orthopedics, Dayanand Medical College, Ludhiana, Punjab, India
Pankaj Mahindra Professor, Department of Orthopedics, Dayanand Medical College, Ludhiana, Punjab, India
Sheriesh Aggarwal Junior resident, Department of Gastroenterology, Dayanand Medical College, Ludhiana, Punjab, India

Keywords:

TKR, WOMAC, VAS, anterior knee pain

Abstract

TKA is one option to relieve pain and to restore function to an arthritic knee. The decision to resurface the patella during TKA remains controversial. We have performed this clinical trial study to examine the efficacy and short term outcomes of TKA with and without patellar resurfacing. To compare -the functional outcome in patients who underwent TKR with patellar resurfacing or without patellar resurfacing. To compare frequency and severity of anterior knee pain and other complications in both groups (TKA with or without PR). The study was conducted on 68 patients in department of orthopedics at DMC Ludhiana. The study was divided into two groups. Patients who underwent resurfacing(n=14) and who did not undergo resurfacing of patella(n=54) Pre-op and Post-op pro forma (at minimum six months of follow up), and WOMAC score was recorded to assess various factors which affect patient satisfaction. Significant difference was observed on comparing the WOMAC score preoperative and 4 weeks after surgery with WOMAC score after 4 weeks being significantly less then preoperative WOMAC score. At 24 weeks follow up the WOMAC score in patients with patellar resurfacing was significantly less (1.29±2.16) than the other group (3.35±3.19).

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