The Effect of Retropatellar Fat Pad Excision on Patellar Tendon Contracture and Functional Outcomes after Total Knee Arthroplasty

R. Meneghini, Jeffery L. Pierson, Deren Bagsby, Michael E. Berend, Merrill A. Ritter, John B. Meding

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Excision of the fat pad is common in total knee arthroplasty to enhance surgical exposure. However, the effect of this has not been clearly established. A retrospective review of 1055 primary total knee arthroplasties was preformed in 720 patients from 1997 to 1998. Regression analysis was performed to determine the effect of excising the fat pad on patellar tendon contracture, range of motion, Knee Society Score, function, and pain scores. Fat pad excision had no significant effect on patellar tendon contracture (P = .4599), range of motion (P = .7361), Knee Society Score (P = .7247), or function scores (P = .6786). Patients whose fat pad had been removed were nearly twice as likely to experience postoperative pain (P = .0005).

Original languageEnglish (US)
Pages (from-to)47-50
Number of pages4
JournalJournal of Arthroplasty
Volume22
Issue number6 SUPPL.
DOIs
StatePublished - Sep 2007

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Patellar Ligament
Knee Replacement Arthroplasties
Contracture
Adipose Tissue
Articular Range of Motion
Postoperative Pain
Regression Analysis
Pain

Keywords

  • excision of the fat pad
  • infrapatellar fat pad
  • knee pain
  • retropatellar fat pad
  • total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

The Effect of Retropatellar Fat Pad Excision on Patellar Tendon Contracture and Functional Outcomes after Total Knee Arthroplasty. / Meneghini, R.; Pierson, Jeffery L.; Bagsby, Deren; Berend, Michael E.; Ritter, Merrill A.; Meding, John B.

In: Journal of Arthroplasty, Vol. 22, No. 6 SUPPL., 09.2007, p. 47-50.

Research output: Contribution to journalArticle

Meneghini, R. ; Pierson, Jeffery L. ; Bagsby, Deren ; Berend, Michael E. ; Ritter, Merrill A. ; Meding, John B. / The Effect of Retropatellar Fat Pad Excision on Patellar Tendon Contracture and Functional Outcomes after Total Knee Arthroplasty. In: Journal of Arthroplasty. 2007 ; Vol. 22, No. 6 SUPPL. pp. 47-50.
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