Abstract
Background
Hoffa pad in Total knee replacement is a mystery. Very few studies have been carried out and no obvious results have been achieved.
Aim
Our aim was to compare the clinical value of the Hoffa pad including blood loss, range of motion, anterior knee pain and swelling post total knee replacement.
Method
this study has been designed as prospective randomized control trial, with involvement of 4 surgeons, with no exclusion criteria and no special preparation for the patients.
Results
with 100 patients results, it has been found that by leaving the Hoffa pad well alone, there were increase of range of motion post TKR by 5 to 10 degrees, there were decrease of blood loss by 50%, no difference in swelling, and most patients with Hoffa pad had almost no anterior knee pain.
Conclusion
the study is in a very early stage to draw a concrete conclusion, however early results showed that Hoffa pad can play a huge role in lubrication, anterior knee pain and finally in reducing blood loss.
