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World J Orthop. Sep 18, 2014; 5(4): 460-468
Published online Sep 18, 2014. doi: 10.5312/wjo.v5.i4.460
Published online Sep 18, 2014. doi: 10.5312/wjo.v5.i4.460
Common controversies in total knee replacement surgery: Current evidence
Vasileios S Nikolaou, Dimitrios Chytas, George C Babis, 2nd Department of Orthopaedics, Athens University, 15124 Athens, Greece
Author contributions: Nikolaou VS collected data and wrote the manuscript; Chytas D contributed to data analysis and manuscript preparation and writing; Babis GC had the final checking and proof editing of the manuscript.
Correspondence to: Vasileios S Nikolaou MD, PhD, MSc, 2nd Department of Orthopaedics, Athens University, 21 Dimitriou Ralli Str, Maroussi, 15124 Athens, Greece. vassilios.nikolaou@gmail.com
Telephone: +30-69-32543400 Fax: +30-21-08020671
Received: December 29, 2013
Revised: March 26, 2014
Accepted: May 31, 2014
Published online: September 18, 2014
Revised: March 26, 2014
Accepted: May 31, 2014
Published online: September 18, 2014
Core Tip
Core tip: A literature review has been conducted in an effort to present the best available evidence of the last decade and to shed light on some of the most controversial subjects related to total knee replacement surgery. Patella resurfacing or not? Posterior cruciate retaining or sacrificing? Continuous passive motion or not? Tourniquet or not? These are some of the most debatable topics that until now have been persistent dilemmas for the orthopedic surgeon. Results of this systematic review of the literature are highly controversial. These conflicting results are an indication that larger and better conducted high quality trials are needed in order to gain more secure answers.