New Evidence Supports Kneecap Resurfacing in Total Knee Replacement for Improved Quality of Life
A 20-year study, the Knee Arthroplasty Trial (KAT), conducted by teams at the University of Oxford and the University of Aberdeen, has provided significant evidence supporting kneecap resurfacing during total knee replacement surgery. This trial, the longest randomized study in knee replacement surgery, followed 1,715 UK patients. While the study found no clear difference in Oxford Knee Scores between resurfaced and unresurfaced knees, every other outcome measured, including quality of life, leaned towards resurfacing. Patients who underwent kneecap resurfacing gained 0.380 more quality-adjusted life years over two decades at a comparable total healthcare cost. The cost of the additional implant was offset by fewer hospital readmissions. The authors concluded that the evidence now favors resurfacing as the default approach, though individual anatomy still plays a role in the final surgical decision. This finding reinforces the practice of many surgeons, particularly in the United States and Australia, wher...