TY - JOUR
T1 - Preservation vs. resection of the infrapatellar fat pad during total knee arthroplasty Part I
T2 - A survey of current practice in the UK
AU - van Duren, B. H.
AU - Lamb, J. N.
AU - Nisar, S.
AU - Ashraf, Y.
AU - Somashekar, N.
AU - Pandit, H.
N1 - Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2019/3
Y1 - 2019/3
N2 - Background: The management of the infrapatellar fat pad (IPFP) during total knee arthroplasty (TKA) is the subject of ongoing debate. In part 1 of this two-part series, we present an overview of current practice regarding the management of the IPFP in elective TKA among surgeons in the UK. Methods: A web-based survey was offered to 269 delegates of the BASK 2017 annual conference. Results: The survey showed a large variation in practice. Of the 173 responders, 86.7% were consultants; 62.4% partially resected the IPFP; 23.1% totally resected the IPFP, and 9.8% preserved it. Forty percent felt that resection made a difference. Only 23% stated that they were aware of guidelines/evidence. Conclusion: There is wide variation in practice with regard to the IPFP in TKA. The available literature with regard to resection or preservation of the IPFP is not conclusive. Implications: There are no definitive guidelines available for the management of the IPFP in TKA resulting in a wide variation in practice amongst surgeons.
AB - Background: The management of the infrapatellar fat pad (IPFP) during total knee arthroplasty (TKA) is the subject of ongoing debate. In part 1 of this two-part series, we present an overview of current practice regarding the management of the IPFP in elective TKA among surgeons in the UK. Methods: A web-based survey was offered to 269 delegates of the BASK 2017 annual conference. Results: The survey showed a large variation in practice. Of the 173 responders, 86.7% were consultants; 62.4% partially resected the IPFP; 23.1% totally resected the IPFP, and 9.8% preserved it. Forty percent felt that resection made a difference. Only 23% stated that they were aware of guidelines/evidence. Conclusion: There is wide variation in practice with regard to the IPFP in TKA. The available literature with regard to resection or preservation of the IPFP is not conclusive. Implications: There are no definitive guidelines available for the management of the IPFP in TKA resulting in a wide variation in practice amongst surgeons.
UR - http://www.scopus.com/inward/record.url?scp=85061536505&partnerID=8YFLogxK
U2 - 10.1016/j.knee.2018.12.010
DO - 10.1016/j.knee.2018.12.010
M3 - Article (Academic Journal)
C2 - 30777666
AN - SCOPUS:85061536505
SN - 0968-0160
VL - 26
SP - 416
EP - 421
JO - Knee
JF - Knee
IS - 2
ER -