Patellar Denervation with Electrocautery in Total Knee Arthroplasty Without Patellar Resurfacing: a Meta-analysis

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2013 Jun 8

PMID 23743580

Citations 14

Authors

Tao Cheng

Chen Zhu

Yongyuan Guo

Sifeng Shi

Desheng Chen

Xianlong Zhang

Affiliations

Soon will be listed here.

Abstract

Purpose: The impact of patellar denervation with electrocautery in total knee arthroplasty (TKA) on post-operative outcomes has been under debate. This study aims to conduct a meta-analysis and systematic review to compare the benefits and risks of circumpatellar electrocautery with those of non-electrocautery in primary TKAs.

Methods: Comparative and randomized clinical studies were identified by conducting an electronic search of articles dated up to September 2012 in PubMed, EMBASE, Scopus, and the Cochrane databases. Six studies that focus on a total of 849 knees were analysed. A random-effects model was conducted using the inverse-variance method for continuous variables and the Mantel-Haenszel method for dichotomous variables.

Results: There was no significant difference in the incidence of anterior knee pain between the electrocautery and non-electrocautery groups. In term of patellar score and Knee Society Score, circumpatellar electrocautery improved clinical outcomes compared with non-electrocautery in TKAs. The statistical differences were in favour of the electrocautery group but have minimal clinical significance. In addition, the overall complications indicate no statistical significance between the two groups.

Conclusions: This study shows no strong evidence either for or against electrocautery compared with non-electrocautery in TKAs.

Level Of Evidence: Therapeutic study (systematic review and meta-analysis), Level III.

Citing Articles

Does Patellar Denervation with Electrocautery Benefits for Total Knee Arthroplasty without Patellar Resurfacing: A Meta-analysis of Randomized Controlled Trails.

Zhou X, Jiang Y, Chen D, Chen T, Tian Z Orthop Surg. 2024; 16(8):1832-1848.

PMID: 38951735 PMC: 11293931. DOI: 10.1111/os.14161.

[Long-term effectiveness of different patellar treatments in primary total knee arthroplasty].

Jia J, Weng X Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022; 36(12):1479-1484.

PMID: 36545855 DOI: 10.7507/1002-1892.202208025.

The impact of severity of patellofemoral osteoarthritis on the patient-reported outcomes of total knee arthroplasty with patellar retention: A retrospective comparative study.

Feng X, Fan C, Wang F Acta Orthop Traumatol Turc. 2021; 55(6):508-512.

PMID: 34967739 PMC: 11583236. DOI: 10.5152/j.aott.2021.20070.

Patellar resurfacing versus nonresurfacing in total knee arthroplasty: an updated meta-analysis of randomized controlled trials.

Chen K, Dai X, Li L, Chen Z, Cui H, Lv S J Orthop Surg Res. 2021; 16(1):83.

PMID: 33494774 PMC: 7830853. DOI: 10.1186/s13018-020-02185-5.

Patellar Denervation with Electrocautery Reduces Anterior Knee Pain within 1 Year after Total Knee Arthroplasty: A Meta-Analysis of Randomized Controlled Trials.

Yuan M, Ding Z, Ling T, Zhou Z Orthop Surg. 2020; 13(1):14-27.

PMID: 33354916 PMC: 7862158. DOI: 10.1111/os.12735.

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