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Adult Reconstruction
intermediate
X-Type

Patella Resurfacing in TKA

Total Knee Arthroplasty

A 68-year-old woman is scheduled for total knee arthroplasty for advanced tricompartmental osteoarthritis with significant anterior knee pain. Preoperative radiographs show bone-on-bone changes in the patellofemoral joint with patellar subluxation. During surgical planning, the decision regarding patella resurfacing is being discussed with the patient. Regarding patella resurfacing in total knee arthroplasty:

Mark each as TRUE or FALSE

A

The debate between routine resurfacing versus selective resurfacing versus non-resurfacing remains c...

B

Indications favoring resurfacing include inflammatory arthritis (RA), severe patellofemoral arthriti...

C

There is definitive evidence that non-resurfacing is always superior; inflammatory arthritis is a co...

D

Complications specific to patella resurfacing include patella fracture (0.5-1%, higher with thin pat...

E

Technical considerations: patella should track centrally ("no thumb test" - patella tracks centrally...

Answer the questions to see explanations

Click T (True) or F (False) for each option