Tao Cheng1, Chen Zhu, Yongyuan Guo, Sifeng Shi, Desheng Chen, Xianlong Zhang. 1. Department of Orthopaedic Surgery, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China, dr_tao.cheng@hotmail.com.
Abstract
PURPOSE: The impact of patellar denervation with electrocautery in total knee arthroplasty (TKA) on post-operative outcomes has been under debate. This study aims to conduct a meta-analysis and systematic review to compare the benefits and risks of circumpatellar electrocautery with those of non-electrocautery in primary TKAs. METHODS: Comparative and randomized clinical studies were identified by conducting an electronic search of articles dated up to September 2012 in PubMed, EMBASE, Scopus, and the Cochrane databases. Six studies that focus on a total of 849 knees were analysed. A random-effects model was conducted using the inverse-variance method for continuous variables and the Mantel-Haenszel method for dichotomous variables. RESULTS: There was no significant difference in the incidence of anterior knee pain between the electrocautery and non-electrocautery groups. In term of patellar score and Knee Society Score, circumpatellar electrocautery improved clinical outcomes compared with non-electrocautery in TKAs. The statistical differences were in favour of the electrocautery group but have minimal clinical significance. In addition, the overall complications indicate no statistical significance between the two groups. CONCLUSIONS: This study shows no strong evidence either for or against electrocautery compared with non-electrocautery in TKAs. LEVEL OF EVIDENCE: Therapeutic study (systematic review and meta-analysis), Level III.
PURPOSE: The impact of patellar denervation with electrocautery in total knee arthroplasty (TKA) on post-operative outcomes has been under debate. This study aims to conduct a meta-analysis and systematic review to compare the benefits and risks of circumpatellar electrocautery with those of non-electrocautery in primary TKAs. METHODS: Comparative and randomized clinical studies were identified by conducting an electronic search of articles dated up to September 2012 in PubMed, EMBASE, Scopus, and the Cochrane databases. Six studies that focus on a total of 849 knees were analysed. A random-effects model was conducted using the inverse-variance method for continuous variables and the Mantel-Haenszel method for dichotomous variables. RESULTS: There was no significant difference in the incidence of anterior knee pain between the electrocautery and non-electrocautery groups. In term of patellar score and Knee Society Score, circumpatellar electrocautery improved clinical outcomes compared with non-electrocautery in TKAs. The statistical differences were in favour of the electrocautery group but have minimal clinical significance. In addition, the overall complications indicate no statistical significance between the two groups. CONCLUSIONS: This study shows no strong evidence either for or against electrocautery compared with non-electrocautery in TKAs. LEVEL OF EVIDENCE: Therapeutic study (systematic review and meta-analysis), Level III.
Authors: David J Wood; Anne J Smith; Dermot Collopy; Bruce White; Boris Brankov; Max K Bulsara Journal: J Bone Joint Surg Am Date: 2002-02 Impact factor: 5.284
Authors: Stefan J M Breugem; Inger N Sierevelt; Matthias U Schafroth; Leendert Blankevoort; Gerard R Schaap; C Niek van Dijk Journal: Clin Orthop Relat Res Date: 2008-06-04 Impact factor: 4.176
Authors: Nicolaas C Budhiparama; Hendy Hidayat; Kiki Novito; Dwikora Novembri Utomo; Imelda Lumban-Gaol; Rob G H H Nelissen Journal: Clin Orthop Relat Res Date: 2020-09 Impact factor: 4.755