Does Prior Infection Alter the Outcome of TKA After Tibial Plateau Fracture?

Larson, A. Noelle; Hanssen, Arlen D.; Cass, Joseph R.

doi:10.1007/s11999-008-0615-7

Cited by 29 publications

(16 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 5 year infection‐free survival was 73% ± 10% in the case group compared with 100% in the control group ( p = 0.023). The authors recommended that in patients at high risk less than 1 year since active evidence of infection, a two‐stage TKA be performed, with antibiotic therapy and a 4–6 week delay between procedures …”

Section: Question 10: Should the Preoperative Antibiotic Choice Be DImentioning

confidence: 99%

Perioperative Antibiotics

Hansen¹,

Belden²,

Silibovsky³

et al. 2014

Journal Orthopaedic Research

View full text Add to dashboard Cite

Section: Question 10: Should the Preoperative Antibiotic Choice Be DImentioning

confidence: 99%

Perioperative Antibiotics

Hansen¹,

Belden²,

Silibovsky³

et al. 2014

Journal Orthopaedic Research

View full text Add to dashboard Cite

“…[1][2][3][4][5][6][7][8][9] Potential triggers of PTOA are fractures with or without malalignment, ligament tears, meniscal tears, and cartilage defects. [1][2][3][4][5] The accuracy of primary reconstruction (anatomic reposition with <2 mm step in joint line) and practice stable osteosynthesis are crucial to prevent PTOA. Furthermore, missed accompanying ligamental and/or meniscal injuries predispose patients for PTOA.…”

mentioning

confidence: 99%

“…In literature, the prevalence of PTOA varies from 10% to 44%. 1,[3][4][5] After trauma, it takes in average 7 years (range, 2 to 11 years) until radiographic signs of osteoarthritis (OA) appear. 4,10 If conservative treatment fails, total knee arthroplasty (TKA) is an option to improve function and reduce pain.…”

mentioning

confidence: 99%

See 1 more Smart Citation

TKA for Posttraumatic Osteoarthritis Is More Complex and Needs More Surgical Resources

Dexel¹,

Beyer²,

Lützner³

et al. 2016

Orthopedics

View full text Add to dashboard Cite

The purpose of this study was to evaluate the surgical effort of total knee arthroplasty (TKA) for posttraumatic osteoarthritis (PTOA) compared with primary osteoarthritis (OA). A total of 1841 TKAs were analyzed, including 170 patients with PTOA, that resulted from soft tissue trauma in 83 patients and fractures in 87 patients. Results showed that patients were significantly younger at the time of surgery in the posttraumatic group (62 vs 71 years; P<.001). Furthermore, fracture was associated with 3.7 years earlier need of TKA compared with soft tissue trauma. Operation time was significantly longer for both of the posttraumatic groups compared with OA (P<.001). Patients undergoing TKA after knee injuries are younger and surgical treatment is more challenging compared with TKA for OA. Extended operation time and implant systems with higher constraint and modular options are required. [Orthopedics. 2016; 39(3):S36-S40.].

show abstract

“…[17,18] This arises in large part from the fact that PTOA patients may present with certain artifacts of traumatic joint injury at the time of TKA, including scars, history of infection, malalignment, and stiffness. [19] Post-traumatic osteoarthritis of the knee…”

Section: Post-traumatic Osteoarthritismentioning

confidence: 99%

Multimodal evaluation of local and whole-joint cartilage changes in an in vivo animal model

Heckelsmiller¹

View full text Add to dashboard Cite

Osteoarthritis is a chronic, deleterious disease of the joints. It currently affects nearly 25 million Americans. Clinically, osteoarthritis presents as joint pain and verified by radiographic evidence of joint space narrowing. Unfortunately, symptomatic osteoarthritis describes the later stages of disease, at which point irreversible cartilage and bone damage has occurred. Crosssectional imaging modalities offer the promise of visualizing early features of disease, enabling the development and evaluation of interventions to forestall or prevent degenerative change. Modalities of clinical interest include magnetic resonance imaging (MRI) and multi-detector computed tomography (MDCT). The following work describes the efficacy of MRI-derived measures for the identification and accurate quantification of local and whole joint changes in articular cartilage thickness changes in vivo. This was performed as part of a study investigating the diagnostic potential of clinical morphometric and compositional MRI to identify early features of osteoarthritis in a large animal model of traumatic knee joint injury. Surgically induced trauma consisted of a partial medial meniscectomy and blunt impact of either 0 J, 0.6 J, or 1.2 J to the weight-bearing cartilage of the medial femur. The study was six months in duration. To evaluate the accuracy of MRI-derived measures of cartilage thickness, imaging acquired at time of euthanasia was compared to high-resolution contrast-enhanced micro-computed tomography (micro CT). 3dimensional multimodal analysis demonstrated that morphometric MRI imaging is sensitive to sub-voxel changes in cartilage thickness. Therefore, MRI is a clinically relevant modality to quantify subtle cartilage damage, thereby presenting an opportunity to identify patients earlier in the disease process. vi

show abstract

Does Prior Infection Alter the Outcome of TKA After Tibial Plateau Fracture?

Cited by 29 publications

References 12 publications

Perioperative Antibiotics

Perioperative Antibiotics

TKA for Posttraumatic Osteoarthritis Is More Complex and Needs More Surgical Resources

Multimodal evaluation of local and whole-joint cartilage changes in an in vivo animal model

Contact Info

Product

Resources

About