Short Term Outcomes of Revision Total Knee Arthroplasty

被引:32
作者
Dieterich, James D. [1 ]
Fields, Adam C. [1 ]
Moucha, Calin S. [1 ]
机构
[1] Icahn Sch Med Mt Sinai, Dept Orthopaed, New York, NY 10029 USA
关键词
arthroplasty; revision total knee arthroplasty; postoperative complications; NSQIP; risk factors; TOTAL JOINT ARTHROPLASTY; SURGICAL SITE INFECTION; UNITED-STATES; TOTAL HIP; COMPLICATIONS; FAILURE; REPLACEMENT; MORTALITY; MODES;
D O I
10.1016/j.arth.2014.07.004
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
Few studies have assessed postoperative complications in revision total knee arthroplasty (rTKA). The aim of this study was to assess which preoperative factors are associated with postoperative complications in rTKA. Using the National Surgical Quality Improvement (NSQIP) database, we identified patients undergoing rTKA from 2010 to 2012. Patient demographics, comorbidities, and complications within thirty days of surgery were analyzed. A total of 3421 patients underwent rTKA. After adjusted analysis, dialysis (P = 0.016) was associated with minor complications. Male gender (P = 0.03), older age (P = 0.029), ASA class >2 (P = 0.017), wound class >2 (P < 0.0001), emergency operation (P = 0.038), and pulmonary comorbidity (P = 0.047) were associated with major complications. (C) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:2163 / 2166
页数:4
相关论文
共 35 条
[1]   Use of Stepped Porous Titanium Metaphyseal Sleeves for Tibial Defects in Revision Total Knee Arthroplasty: Short Term Results [J].
Barnett, Steven L. ;
Mayer, Ryan R. ;
Gondusky, Joseph S. ;
Choi, Leera ;
Patel, Jay J. ;
Gorab, Robert S. .
JOURNAL OF ARTHROPLASTY, 2014, 29 (06) :1219-1224
[2]   Thirty-Day Postoperative Complications and Mortality Following Total Knee Arthroplasty [J].
Belmont, Philip J., Jr. ;
Goodman, Gens P. ;
Waterman, Brian R. ;
Bader, Julia O. ;
Schoenfeld, Andrew J. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (01) :20-26
[3]   The "July Effect" in Primary Total Hip and Knee Arthroplasty: Analysis of 21,434 Cases From the ACS-NSQIP Database [J].
Bohl, Daniel D. ;
Fu, Michael C. ;
Golinvaux, Nicholas S. ;
Basques, Bryce A. ;
Gruskay, Jordan A. ;
Grauer, Jonathan N. .
JOURNAL OF ARTHROPLASTY, 2014, 29 (07) :1332-1338
[4]   An AOA critical issue the outcome of the outcomes movement [J].
Bourne, RB ;
Maloney, WJ ;
Wright, JG .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (03) :633-640
[5]   Patient Satisfaction after Total Knee Arthroplasty Who is Satisfied and Who is Not? [J].
Bourne, Robert B. ;
Chesworth, Bert M. ;
Davis, Aileen M. ;
Mahomed, Nizar N. ;
Charron, Kory D. J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :57-63
[6]   The Epidemiology of Revision Total Knee Arthroplasty in the United States [J].
Bozic, Kevin J. ;
Kurtz, Steven M. ;
Lau, Edmund ;
Ong, Kevin ;
Chiu, Vanessa ;
Vail, Thomas P. ;
Rubash, Harry E. ;
Berry, Daniel J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :45-51
[7]   Hospital resource utilization for primary and revision total hip arthroplasty [J].
Bozic, KJ ;
Katz, P ;
Cisternas, M ;
Ono, L ;
Ries, MD ;
Showstack, J .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (03) :570-576
[8]   Operating Room Ventilation With Laminar Airflow Shows No Protective Effect on the Surgical Site Infection Rate in Orthopedic and Abdominal Surgery [J].
Brandt, Christian ;
Hott, Uwe ;
Sohr, Dorit ;
Daschner, Franz ;
Gastmeier, Petra ;
Rueden, Henning .
ANNALS OF SURGERY, 2008, 248 (05) :695-700
[9]  
CAMERON HU, 1982, CLIN ORTHOP RELAT R, P141
[10]   Older Age Increases Short-term Surgical Complications After Primary Knee Arthroplasty [J].
Easterlin, Molly C. ;
Chang, Douglas G. ;
Talamini, Mark ;
Chang, David C. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2013, 471 (08) :2611-2620