Skip to main content

Table 6 Comparison of the ability to kneel among patients with patellar resurfacing vs. non-resurfacing

From: Patellar resurfacing and kneeling ability after total knee arthroplasty: a systematic review

Study

Year

Assessment of kneeling

Ability to kneel

Significance

P = value

Resurfaced (PR)

Non-resurfaced (NPR)

Huish Jr et al. [23]

2020

Self-reported

56 (39%)

28 (64%)

Significant

P = 0.04*

PR 95% CI (0.26–0.52)

NPR 95% CI (0.47–0.82)

Rooks et al [24]

2020

Self-reported

Can kneel = 69 (29%)

Can kneel = 54 (30%)

Not significant

NR

Limited kneeling = 56 (23%)

Limited kneeling = 35 (20%)

Not significant

NR

Cannot kneel = 117 (48%)

Cannot kneel = 89 (50%)

Not significant

NR

Sangoi et al. [25]

2020

Self-reported-OKS (Q5 + Q7 + Q12)

Median (range)

Median (range)

NR

NR

Preop = 3 (0–12)

Preop = 3 (1–11)

Postop = 8 (2–12)

Postop = 6.5 (3–11)

Change = Significant (P = 0.039)

 

Wilding et al. [26]

2019

Clinical assessment

Able to kneel = 33 (79%)

Able to kneel = 26 (46%)

Significant

P < 0.01* PR 95% CI (0.66–0.91)

NPR 95% CI (0.33–0.59)

Unable to kneel = 9 (21%)

Unable to kneel = 31 (54%)

Implant design–PCL Sacrificed

Implant design–PCL Sacrificed

Not significant

P = 0.34

Able to kneel = 17 (68%)

Able to kneel = 10 (42%)

Unable to kneel = 8 (32%)

Unable to kneel = 14 (58%)

Implant design–PCL Retained

Implant design–PCL Retained

Not significant

P = 0.06

Able to kneel = 16 (94%)

Able to kneel = 16 (48%)

Unable to kneel = 1 (6%)

Unable to kneel = 17 (52%)

Albrecht et al. [27]

2016

Self-reported—KOOS (SP5)

Mean (SD)

Mean (SD)

Not significant

P = 0.72

2.22 (1.60)

1.45 (1.54)

Baker et al. [28]

2014

Self-reported—OKS (Q7)

Mean (95% CI)

Mean (95% CI)

Significanta

P < 0.01*

Preop = 0.75 (0.73 to 0.77)

Preop = 0.82 (0.81 to 0.83)

Postop = 1.36 (1.33 to 1.39)

Postop = 1.41 (1.39 to 1.43)

Significanta

P < 0.01*

Change = 0.61 (0.58 to 0.64)

Change = 0.59 (0.57–0.61)

Not significant

P = 0.29

Garneti et al. [29]

2008

Self-reported

Able to kneel = 21 (31%)

Able to kneel = 17 (31%)

Not significant

P = 0.09

Palmer et al. [30]

2002

Clinical assessment

Able to kneel = 26 (84%)

Able to kneel = 38 (67%)

Not significant

P = 0.1

Unable to kneel = 5 (16%)

Unable to kneel = 19 (33%)

  1. * = P < 0.05, NR Not reported, CI confidence interval, PR patella resurfacing, NPR Non-patella resurfacing
  2. aChanges in OKS kneeling scores (Q7) between resurfaced vs. non-resurfaced groups were not significant once adjusted for differences in age, gender, ASA grade, surgical indications, preoperative general health, preoperative history of depression and relevant preoperative PROM score in multivariate analysis