{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T06:08:30Z","timestamp":1770358110769,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Data suggests the infra\u2010patellar fat pad (IPFP) is resected in the majority of total knee arthroplasty cases. Current literature suggests there may be scope for increasing preservations rates. A systematic review and meta\u2010analysis of available literature was performed to assess if resection of IPFP resulted in superior patient outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Scopus, PubMed, Cochrane, Embase and CINAHL were systematically searched in February 2024 for articles of relevance and meta\u2010analysis conducted. A standardized mean difference and confidence interval of 95% was calculated. An odds ratio was calculated for all included datasets. Heterogeneity was assessed for using the <jats:italic>I<\/jats:italic><jats:sup><jats:italic>2<\/jats:italic><\/jats:sup> statistic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirteen studies were included within this review. IPFP resection shortened the patella tendon at 6\u2009months post\u2010operatively (OR, 0.07; 95% CI, 0.02\u20130.12, <jats:italic>P<\/jats:italic>\u2009=\u20090.006). Results favoured preservation at 12\u2009months post\u2010operatively (OR, 0.02; 95% CI, \u22120.02 to 0.06, <jats:italic>P<\/jats:italic>\u2009=\u20090.32). Oxford Knee Society (OKS) results statistically favoured preservation at 6\u2009months (OR, 1.57; 95% CI, 0.74\u20132.39, <jats:italic>P<\/jats:italic>\u2009=\u20090.0002). Findings at 12\u2009months favoured resection (OR, \u22120.49; 95% CI, \u22125.39, 4.41, <jats:italic>P<\/jats:italic>\u2009=\u20090.84). Resection increased anterior knee pain at 6\u201312\u2009months post\u2010operatively (OR, 1.45; 95% CI, 1.12\u20131.89, <jats:italic>P<\/jats:italic>\u2009=\u20090.005). Combined subgroup analysis of flexion favoured resection (OR, \u22122.15; 95% CI, \u22126.52 to 2.22, <jats:italic>P<\/jats:italic>\u2009=\u20090.34).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>OKS and patella tendon length results favoured preservation at 6\u2009months however did not reach minimal clinically important difference. Combined subgroup analysis of flexion did not yield a statistically significant result. Rates of anterior knee pain at 6\u201312\u2009months favoured preservation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19148","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T06:59:31Z","timestamp":1720594771000},"page":"1234-1239","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Are short term outcomes superior following total knee arthroplasty when infra\u2010patellar fat pad is resected? 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