• Podcast
  • 13/05/2021
  • UK

Patellar Resurfacing during Primary Total Knee Replacement is Associated with a Lower Risk of Revision Surgery

Description

This podcast episode from The Bone & Joint Journal features host Andrew Duckworth and a panel of orthopedic experts discussing a recent study on patellar resurfacing during total knee replacement. The conversation begins with Duckworth welcoming listeners and acknowledging their contributions and support. Emphasis is placed on new special-edition podcasts highlighting the work of specialty editors. The main focus of the episode is a detailed examination of a study led by Professor Mike Whitehouse from Bristol, which analyzes the relationship between patellar resurfacing and revision surgery rates.



The podcast explores the controversy surrounding whether to resurface the patella during knee replacements, emphasizing the high volume of data assessed from over 842,000 total knee surgeries. Aspects discussed include risk assessment using statistical models, the necessity of patellar resurfacing, and its implications on both revision rates and patient outcomes. Despite the strong evidence presented, potential limitations of the study are noted, such as the observational nature of the data and the complexity of surgical decisions based on the condition of the native patella.



Guests on the podcast include specialists like Mr. Alex Little and Mr. Nick Clement, who provide further insights into the findings. The discussion delves into how the results compare with existing literature and guidelines, such as those from NICE on patellar resurfacing. Key conclusions mention the increased risk of revision surgery in non-resurfaced knees and the implications for surgical practice in the UK and globally.



Additionally, the podcast raises questions about future research needs and how surgeons will interpret these findings in practice, whether through selective or routine resurfacing approaches. Overall, the episode fosters a critical dialogue on an essential and evolving topic within orthopedic surgery.

Specialties