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Table 2 Study outcomes

From: “Anatomic patella design versus medialized dome design in the modern posterior stabilized (ATTUNE) total knee arthroplasty: a systematic review and meta-analysis”

Study, Year

Follow Up

(months)

PROMs

Revision or Complication

ROM

Radiologic Measures

Measure

Results

Measure

Results

Measure

Results

Measures and Method

Results

Ahearn 2021 [11]

12

EQD5. KOOS

APD had superior scores for

(Mobility, Activity and Anxiety) for EQ5D

And KOOS Function

-

-

-

-

-

-

Kleeman-Forsthuber 2024 [8]

28 for APD

73 for MDD

-

-

Revisions

(no. and cause)

CKE and AKP rate

APD: 7 (3 for patella failure)

MDD: 3 (no patella failure)

APD had more CKE and AKP rates

(18 APD/2 MDD)

n-WB ROM

NS

Merchant and lateral views

SPPF, LPD, PTA, Insall-Salvati ratio

APD: had greater PTA, and LPD values and SPPF rates

Mannen 2019 [12]

9

KSS, KOOS, PKIP

NS

-

-

WB, n-WB

FF

NS

Measured during full ROM

ERA and IRA, LPD measured during full ROM

APD had lower ERA

Mochizuki 2021 [10]

12

JKOM

NS

Revisions or Complications

0

n-WB ROM

NS

Merchant and lateral and anterior views

at 30, 60, 90, 120 degree of knee flexion

IRA, PTA

NS

Shon 2022 [7]

3, 6, 12

KOOS, WOMAC, Feller, Kujala

NS

Revisions or Complications

0

n-WB

FF, FC at 3,6,12 m

APD at 6 m had greater FF

Merchant view

PTA, LPD

APD had lower PTA angles

Sobhi 2024 [5]

1, 12

OKS

NS

Reoperations (Revision no.)

APD: 7 (0)

MDD: 6 (2 ongoing pain)

n-WB ROM

NS

Merchant and lateral views

PTA, RLL, LPD

APD: more RLLs for lateral femur view and greater PTA

MDD: more RLLs for axial patella view and greater LPD

Kim 2023 [9]

24

KSS, WOMAC, Kujala, HSS

NS

Revision or Complication

0

n-WB ROM, FF, FC

NS

Merchant and lateral views

PTA, PTA outliers

Blackburne-Peel ratio

NS

PTA outliers

(APD: 11 and MDD: 5%)

  1. Abbreviations: PROMs Patient-Reported Outcome Measures, MDD Medialized dome design, APD Anatomic patellar design, EQ-5D EuroQol-5 Dimension, KOOS Knee Injury and Osteoarthritis Outcome Score, JKOM Japanese Knee Osteoarthritis Measure, WOMAC Western Ontario and McMaster Universities Osteoarthritis Index, OKS Oxford Knee Score, RLL Radiolucent Lines, KSS Knee Society Score, HSS Hospital for Special Surgery, PKIP Patellar Kinematic Inverse Prediction, WB Weight-Bearing, n-WB no Weight-Bearing, LPD Lateral Patellar Displacement, PTA Patellar Tilt Angle, ERA External Rotation Angle, IRA Internal Rotation Angle, CKE Chronic Knee Effusion, AKP Anterior Knee Pain, ROM Range of Motion, SPPF Superior Patellar Pole Fragmentation, FF Flexion, FC Flexion Contracture