Preoperative MRI to plan infrapatellar fat pad resection during total knee arthroplasty

Currently the incidence of knee pain post total knee arthroplasty (TKA) is low, with approximately 10% of patients reporting mild to moderate pain 7 8 and 4.8% reporting severe pain. 6 The study by Sekiya et al 6 found that of the 4.8% of patients with severe knee pain, a significant proportion had...

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Bibliographic Details
Published inAnnals of the rheumatic diseases Vol. 76; no. 9; p. e34
Main Authors Binks, Matthew J, Vlok, R, Holyoak, R, Melhuish, T, White, L
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.09.2017
Subjects
Adipose Tissue - surgery
Arthroplasty (knee)
Arthroplasty, Replacement, Knee
Joint surgery
Knee
Knee Joint - surgery
Longitudinal Studies
Magnetic Resonance Imaging
Pain
Magnetic Resonance Imaging
Disease Activity
Inflammation
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Summary:Currently the incidence of knee pain post total knee arthroplasty (TKA) is low, with approximately 10% of patients reporting mild to moderate pain 7 8 and 4.8% reporting severe pain. 6 The study by Sekiya et al 6 found that of the 4.8% of patients with severe knee pain, a significant proportion had scar tissue between the IPFP and the tibiofemoral space, impinging the femorotibial joint. Following arthroscopic resection of this scar tissue, 63% of the patients reporting severe pain were now pain free and a further 23% had their pain at least halved. 6 This suggests that less than 2% of patients will report severe knee pain post TKA if the IPFP is preserved and arthroscopic debridement is performed as required. [...]we eagerly await RCTs investigating its use and the possibility of reducing severe pain post TKA to less than 1%.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0003-4967
1468-2060
DOI:10.1136/annrheumdis-2017-211079