Table 5 Studies demonstrating a statistically significant difference in kneeling outcomes compared between patellar resurfacing vs. non-resurfacing
From: Patellar resurfacing and kneeling ability after total knee arthroplasty: a systematic review
Study | Year | Statistical analysis comparing kneeling in resurfaced vs. non-resurfaced TKAs | Study conclusions regarding kneeling (Resurfacing vs. non-resurfacing) |
|---|---|---|---|
Huish Jr et al. [23] | 2020 | Favors Non-resurfacing | 1. Not resurfacing the patella, combined with lateral facetectomy may give patients a better chance to kneel |
2. Without evidence clearly demonstrating whether patellar resurfacing or non-resurfacing is superior, the surgeon should give consideration to not resurfacing the patella in patients with minimal patellofemoral arthritis that may have desire/need to kneel following surgery | |||
3. Female patients showed an increased ability to kneel, hence leaving their native patellar surface may aid in kneeling activities after surgery | |||
Wilding et al. [26] | 2019 | Favors Resurfacing | 1. Patella resurfacing significantly improves patients’ chances of being able to kneel post TKA |
2. This benefit is independent of whether PCL is retained or sacrificed |