The Orthobullets Podcast Podiums | Recon | Should We Routinely Resurface the Patella? YES!!
Sep 3, 2025
Explore the compelling case for routine patellar resurfacing in knee surgeries, backed by data revealing decreased reoperation rates. Discover how common misconceptions are tackled and why data-driven decisions are crucial in the operating room. Experts share insights from live medical events, showcasing the latest thoughts in orthopedic practices. Embrace a modern approach to surgery that could change the way knee replacements are performed.
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Resurface The Patella In TKA
- Always resurface the patella when performing total knee replacement according to Dr. R.W. McCalden.
- He argues it's part of a complete TKA and prevents metal-on-cartilage articulations that he deems unacceptable.
Registry Data Favors Resurfacing
- Registry and meta-analysis data show routine patellar resurfacing lowers reoperation and residual pain rates.
- Australia increased resurfacing to ~80% after 23-year registry data showed higher revisions when not resurfaced.
No Evidence To Avoid Resurfacing
- No high-quality study shows superiority of not resurfacing; most show inferiority to resurfacing.
- Cartilage will degrade over time, making late symptoms and revisions more likely.