Open AccessPatellar resurfacing versus patellar nonresurfacing in primary total knee arthroplasty
Author(s) -
Chengzhi Hou,
Xuelei Chu,
Bingbing Zhang,
Jiaxian Li,
Yong-Li Dong,
Yong Zhao
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000020097
Subject(s) - medicine , cochrane library , total knee arthroplasty , medline , physical therapy , arthroplasty , systematic review , patella , orthopedic surgery , meta analysis , grading (engineering) , evidence based medicine , randomized controlled trial , surgery , alternative medicine , civil engineering , pathology , political science , law , engineering
Background: Total knee arthroplasty (TKA) is one of the most common orthopedic procedures. However, the decision to resurface the patella during a primary TKA remains controversial. Therefore, a systematic review and meta-analysis were conducted to determine whether patellar resurfacing is needed in primary total knee arthroplasty. Methods: A systematic literature research will be conducted in 7 databases including PubMed, Embase, Cochrane Library website, ClinicalTrials.gov databases, Chinese National Knowledge Infrastructure Database, Wanfang database, and VIP database for Chinese Technical Periodicals. The quality of studies will be assessed according to Cochrane risk of bias tool and Methodological index for non-randomized studies (MINORS) scale. The level of the evidence will be estimated by grading of recommendations assessment, development, and evaluation system. Data analysis and synthesis will be completed by the Review Manager 5.3. Conclusions: The conclusion of this study will provide clinicians performing TKA with a recommendation whether to conduct patellar resurfacing and further guide the clinical decision-making. PROSPERO registration number: CRD42019129711.