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Despite exhausting evidence supporting no clinical difference in AKP with resurfaced vs. unresurfaced patellae in TKA, 87% of TKAs are resurfaced in the United States, compared with 2% in other countries. These large practice variations underscore a lack of consensus regarding the role of the patella and the approach to the anterior compartment of the knee in TKA. The aim of this review was to go beyond patellar resurfacing and describe the effects that surgical technique and implant design may have on AKP in current TKA.<\/jats:p>","DOI":"10.1097\/bh9.0000000000000051","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T22:00:09Z","timestamp":1779919209000},"page":"90-95","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The anterior compartment in modern knee arthroplasty"],"prefix":"10.1097","volume":"84","author":[{"given":"Joseph X.","family":"Robin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Deshmukh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morteza","family":"Meftah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinay K.","family":"Aggarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Schwarzkopf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua C.","family":"Rozell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"R1-20260626","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.arth.2022.08.042","article-title":"Anterior knee pain following primary unilateral total knee arthroplasty with posterior-stabilized prosthesis and patellar resurfacing: prevalence and clinical implications","volume":"38","author":"De Oliveira Silva","year":"2023","journal-title":"J Arthroplasty"},{"key":"R2-20260626","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1007\/s00264-013-2081-4","article-title":"Anterior knee pain after total knee arthroplasty: a narrative review","volume":"38","author":"Petersen","year":"2014","journal-title":"Int Orthop"},{"key":"R3-20260626","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/j.arth.2010.12.013","article-title":"The natural history of anterior knee pain in 2 posterior-stabilized, modular total knee arthroplasty designs","volume":"26","author":"Meftah","year":"2011","journal-title":"J Arthroplasty"},{"key":"R4-20260626","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1007\/s00132-016-3256-7","article-title":"Vorderer Knieschmerz nach Knie-TEP-implantation: ursachen, diagnostik und therapie [Anterior knee pain after total knee arthroplasty: causes, diagnosis and treatment]","volume":"45","author":"Michalik","year":"2016","journal-title":"Orthopade"},{"key":"R5-20260626","doi-asserted-by":"crossref","first-page":"S102","DOI":"10.1016\/j.arth.2024.10.048","article-title":"Should the patella be resurfaced during primary total knee arthroplasty? 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