General and specifi c complications in total knee arthroplasty with and without patellar resurfacing


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Abstract

The need to replace the patella in total knee arthroplasty is still a subject of debate among orthopedic surgeons. Existing
studies show heterogeneous and even contradictory results. А study of 249 patients with unilateral knee osteoarthrosis , who
underwent total knee arthroplasty with (group I) and without (group II) patellar resurfacing in the orthopaedic department
of National Medical Surgical Center named N.I.Pirogow was carried out. Group I included 128 patients (51.4%), and group
II included 121 patients (48,6%), Posterior Stabilized Sigma (DePuy Johnson&Johnson) implants were used. We studied
the rate and structure of general and specifi c (patellofemoral), complications and the revision rate related to patellofemoral
complications after total knee replacement with and without patellar resurfacing. On the basis of the study results, we
concluded that, with the design of prosthesis used in our study, in patients with primary knee osteoarthrosis, similar results
may be achieved with and without patellar resurfacing.

About the authors

Национальный медико-хирургический Центр им. Н.И.Пирогова, г. Москва

Author for correspondence.
Email: sahradyan74@mail.ru
аспирант кафедры
хирургии с курсом травматологии и ортопедии На-
ционального медико-хирургического Центра им.
Н.И.Пирогова

Первый Московский государственный медицинский университет им .И.М.Сеченова

Email: sahradyan74@mail.ru
д.м.н., заведующий
отделением ортопедии клиники травматологии, ор-
топедии и патологии суставов Первого Московско-
го государственного медицинского университета
им. И.М.Сеченова

Национальный медико-хирургический Центр им. Н.И.Пирогова, г. Москва

Email: sahradyan74@mail.ru
д.м.н., профессор
заведующий кафедрой хирургии с курсом трав-
матологии и ортопедии, главный хирург и руково-
дитель клиники хирургии Национального медико-
хирургического Центра им. Н.И.Пирогова

Национальный медико-хирургический Центр им. Н.И.Пирогова, г. Москва

Email: sahradyan74@mail.ru
врач-
травматолог-ортопед отделения травматологии и
ортопедии Национального медико-хирургического
центра им. Н.И. Пирогова

Национальный медико-хирургический Центр им. Н.И.Пирогова, г. Москва

Email: sahradyan74@mail.ru
заведующий отделением травматологии и ортопедии Национального
медико-хирургического Центра им. Н.И.Пирогова

Первый Московский государственный медицинский университет им .И.М.Сеченова

Email: sahradyan74@mail.ru
к.м.н., врач-
травматолог-ортопед клиники травматологии, ор-
топедии и патологии суставов Первого Московско-
го государственного медицинского университета
им. И.М. Сеченова

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