Anterior Knee Pain After Total Knee Arthroplasty: A Critical Review of Peripatellar Variables.


Journal

JBJS reviews
ISSN: 2329-9185
Titre abrégé: JBJS Rev
Pays: United States
ID NLM: 101674872

Informations de publication

Date de publication:
01 07 2023
Historique:
medline: 24 7 2023
pubmed: 21 7 2023
entrez: 21 7 2023
Statut: epublish

Résumé

» Despite the widespread success of total knee arthroplasty (TKA), postoperative anterior knee pain (AKP) remains a common occurrence and source of dissatisfaction with several readily discernible and diagnosable causes of AKP after TKA, including component malpositioning, infection, wear and osteolysis, instability, and loosening, among others.» In the setting of the well-appearing but painful TKA, potential intraoperative contributors to AKP have been extensively investigated, but remain controversial and include patellar resurfacing, patellar denervation, and patellofemoral joint overstuffing or understuffing.» Intraoperative management of peripatellar soft tissues has comparatively attained substantially less attention recently, and persistent controversy exists in the literature to make informed decisions on soft-tissue management and identify potential contributors to AKP.» Further investigations and research is needed, including exploration of multifactorial or alternative etiologies, specifically ones related to less obvious soft-tissue-related factors, needed to better understand and ultimately avoid AKP after TKA.

Identifiants

pubmed: 37478304
doi: 10.2106/JBJS.RVW.23.00092
pii: 01874474-202307000-00007
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A989).

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Auteurs

Mouhanad M El-Othmani (MM)

Department of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, Rhode Island.

Abdul K Zalikha (AK)

Department of Orthopaedic Surgery and Sports Medicine, Wayne State University, Detroit Medical Center, Detroit, Michigan.

Roshan P Shah (RP)

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, New York.

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