Patellar eversion during total knee arthroplasty (TKA) is a debated issue. The aim of this study is to perform a review of overlapping meta-analyses analyzing clinical outcomes of patellar eversion compared to noneversion. A search was performed in PubMedMEDLINE, Scopus, and Cochrane Library. Inclusion criteria were meta-analysis of randomized controlled trials (RCTs) or quasi-RCTs;l comparison between TKAs with or without patellar eversion; and at least one outcome, such as reoperation rate, pain, and functional scores. Meta-analyses were evaluated with the A Measurement Tool to Assess Systematic Review (AMSTAR) score, addressing the most relevant one with the Jadad algorithm. Three meta-analyses were identified and included in this review. No significant differences were found regarding complications, quadriceps strength, functional, and radiological outcomes. The meta-analysis by Zan et al. was selected as the best available one. Patellar eversion group showed a shorter tourniquet time but a longer skin incision. In conclusion, eversion and noneversion techniques did not demonstrate any significant or clinically relevant difference.
Should the patella be everted during primary total knee arthroplasty? : A systematic review of overlapping meta-analyses / A. Grassi, R. Compagnoni, P. Ferrua, S. Pasqualotto, C. Zaolino, S. Zaffagnini, P. Randelli. - In: JOURNAL OF ORTHOPAEDIC SURGERY. - ISSN 1022-5536. - 27:1(2019), pp. UNSP 2309499019828550.1-UNSP 2309499019828550.8.
|Titolo:||Should the patella be everted during primary total knee arthroplasty? : A systematic review of overlapping meta-analyses|
|Parole Chiave:||arthroplasty; eversion; knee; meta-analysis; patella; prosthesis; TKA|
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1177/2309499019828550|
|Appare nelle tipologie:||01 - Articolo su periodico|