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Higher failure rate of secondary patellar resurfacing following bicompartmental knee arthroplasty

  • Knee Revision Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The role of secondary patellar resurfacing (SPR) in anterior knee pain (AKP) is still debated in literature. A regional arthroplasty registry was investigated, aiming to: (1) assess the survival rate of SPR; and (2) compare SPR to tricompartmental TKA.

Materials and methods

The regional arthroplasty registry RIPO was investigated about all SPRs performed after bicompartmental arthroplasty. The survival rates and the reasons for revision were assessed as any other factor that could have influenced implants failure. SPR survivorship was compared to tricompartmental TKAs.

Results

406 SPRs performed after bicompartmental arthroplasty were analyzed. The survival rates were 80.6% (CI 95% 75.9–84.5) at 5 years and 77.6% (CI 95% 72.4–82) at 7 years. Half of the SPRs was performed 0.9–2.4 years after the index bicompartmental arthroplasty. SPR achieved lower survival than tricompartmental TKA (80.6% vs 96.7%, p < 0.001), with an adjusted hazard ratio for failure of 5.5 (CI 95% 4.2–7.1, p < 0.001). SPRs performed within 2 years after primary implant had a significantly higher rates of failure when compared to tricompartmental TKA (HR: 6.4, CI 95% 4.8–8.4, p < 0.001).

Conclusion

SPR after bicompartmental knee arthroplasty showed modest 5- and 7-year survival rates, worse than primary tricompartmental TKA. When SPRs are performed within 2 years after primary arthroplasty, a significant higher risk of failure should be expected, highlighting than appropriate pre-operative work-up and patient selection is crucial for SPR successful outcome.

Level of evidence

III, therapeutic study.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request. Some data are publicly available at RIPO (http://ripo.cineca.it/authzssl/index.htm).

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Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Ortopedia-Traumatologia e Chirurgia protesica e dei reimpianti d’anca e di ginocchio, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136, Bologna, Italy

    Francesco Pardo, Federico Giardina, Francesco Castagnini & Francesco Traina

  2. Laboratorio di Tecnologia Medica, IRCCS Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136, Bologna, Italy

    Cristina Ancarani & Barbara Bordini

  3. Villa Erbosa Hospital, Gruppo San Donato, Bologna, Italy

    Francesco Perdisa

  4. Orthopaedics and Traumatology, DIBINEM, University of Bologna, Bologna, Italy

    Francesco Traina

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  1. Francesco Pardo
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  2. Federico Giardina
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  3. Cristina Ancarani
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  4. Barbara Bordini
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  5. Francesco Castagnini
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Contributions

FP concepted the design of the study, wrote the manuscript and corrected the final version. CA and BB provided the data, analyzed the data and conducted the statistical analysis. FP, FG and FP wrote the manuscript. FG, FC, FT designed the study, supervised the article production and corrected the final paper. All the Authors read and approved the final version.

Corresponding author

Correspondence to Francesco Castagnini.

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All the authors declare that they have no conflict of interest, as stated in the specific forms.

Ethical review committee statement

Institutional board review is not necessary for registry studies (data are collected as standard practice and the identity of the patients is concealed).

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No informed consent was collected as data are collected as a standard practice and the identity of the patients is concealed.

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Pardo, F., Giardina, F., Ancarani, C. et al. Higher failure rate of secondary patellar resurfacing following bicompartmental knee arthroplasty. Arch Orthop Trauma Surg 143, 6315–6321 (2023). https://doi.org/10.1007/s00402-023-04924-9

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  • DOI: https://doi.org/10.1007/s00402-023-04924-9

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