Randomized Trialhigh evidence
Patellar resurfacing in total knee replacement: 20-year clinical and economic results of a large multicentre, randomised controlled trial in the UK.
Lancet (London, England)·July 4, 2026·PMID 42309116
Why it mattersThis is the longest and largest RCT on patellar resurfacing, providing robust long-term data to guide surgical decision-making. The consistent trend favouring resurfacing across multiple endpoints, without additional cost, supports its routine use.

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