Why are Total Knee Arthroplasties Being Revised?

被引：192

作者：

Dalury, David F. ^{[1
]}

Pomeroy, Donald L. ^{[2
]}

Gorab, Robert S. ^{[3
]}

Adams, Mary Jo ^{[1
]}

机构：

[1] Towson Orthopaed Associates, Towson, MD USA

[2] Pomery & Rhoads Orthopaed, Louisville, KY USA

[3] Orthoped Specialty Inst, Orange, CA USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 08期

关键词：

revision total knee arthroplasty; knee arthroplasty; outcome; diagnosis; current;

D O I：

10.1016/j.arth.2013.04.051

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Despite technical improvements, revision rates for total knee arthroplasties (TKAs) remain high. Our goal was to report the reason(s) for revision TKA in a large, current, multicenter series and compare those reasons with previously published reasons. We retrospectively identified 820 consecutive revision TKAs (693 patients, 2000-2012) from our 3 centers and recorded the primary reason for the revision. The top seven reasons for the revision were aseptic loosening (23.1%), infection (18.4%), polyethylene wear (18.1%), instability (17.7%), pain/stiffness (9.3%), osteolysis (4.5%), and malposition/malalignment (2.9%). Comparison with previously published reasons showed fewer TKA revisions for polyethylene wear, osteolysis, instability, and malalignment. These changes may represent improvements in surgical technique and implants. (C) 2013 Elsevier Inc. All rights reserved.

引用

页码：120 / 121

页数：2

共 12 条

[1] Reason for Revision Influences Early Patient Outcomes After Aseptic Knee Revision
Baker, Paul
Cowling, Paul
Kurtz, Steven
Jameson, Simon
Gregg, Paul
Deehan, David
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2012, 470 (08) : 2244 - 2252
[2] Fehring TK, 2001, CLIN ORTHOP RELAT R, P315
[3] Font-Rodriguez DE, 1997, CLIN ORTHOP RELAT R, P79
[4] Karrholm J., SWEDISH HIP ARTHROPL
[5] Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002
Kurtz, S
Mowat, F
Ong, K
Chan, N
Lau, E
Halpern, M
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) : 1487 - 1497
[6] New Zealand Orthopaedic Association, NZ JOINT REG 12 YEAR
[7] Risk of Subsequent Revision after Primary and Revision Total Joint Arthroplasty
Ong, Kevin L.
Lau, Edmund
Suggs, Jeremy
Kurtz, Steven M.
Manley, Michael T.
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (11) : 3070 - 3076
[8] RITTER MA, 1994, CLIN ORTHOP RELAT R, P136
[9] Functional outcome after total knee arthroplasty revision - A meta-analysis
Saleh, KJ
Dykes, DC
Tweedie, RL
Mohamed, K
Ravichandran, A
Saleh, RM
Gioe, TJ
Heck, DA
[J]. JOURNAL OF ARTHROPLASTY, 2002, 17 (08) : 967 - 977
[10] Why are total knee arthroplasties failing today?
Sharkey, PF
Hozack, WJ
Rothman, RH
Shastri, S
Jacoby, SM
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2002, (404) : 7 - 13

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