Postoperative knee pain, satisfaction, and revision after total knee arthroplasty with and without primary patella resurfacing.

Background: Patella resurfacing during total knee arthroplasty (TKA) remains controversial. We performed a large cohort study to assess pain, function, and revision risk between patients with and without primary patella resurfacing.

Method: We identified 10,846 primary TKAs in 2005-2024.