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We thank White and Melhuish1 for their interest in our original paper2 and our response3 to Bai et al.4
There is moderate level evidence in a recent systematic review showing that infrapatellar fat pad (IPFP) preservation improves clinical outcomes post total knee arthroplasty (TKA), whereas IPFP resection increases post-TKA knee pain.5 This is contradictory with a previous systematic review suggesting that there were no differences in function, range of motion and anterior knee pain between preservation and resection groups after TKA in knee osteoarthritis (OA).6 This new evidence is consistent with our findings that the IPFP maximal area was associated with reduced …
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