Short Term Outcomes of Revision Total Knee Arthroplasty

Perioperative Complications and Length of Stay After Revision Total Hip and Knee Arthroplasties: An Analysis of the NSQIP Database

“…Contrary to our results (0.1% mortality after RKA), Dietrich et al [8] found higher 30-day mortality rates for RKAs (0.4%). However, they analyzed septic and aseptic revisions, while we excluded all patients with preoperative sepsis or revisions for periprosthetic joint infections.…”

“…Patients having complications were divided into two groups: (1) major -life threatening or death (at least one of the following: pulmonary embolism, cardiac arrest, myocardial infarction, unplanned intubation, sepsis, acute renal failure, cerebrovascular accident, death) and (2) minor -not acutely life threatening (at least one of the following: urinary tract infection, DVT, pneumonia, peripheral nerve injury, superficial wound infection, deep wound infection). The separation of complications into major and minor is based on previous literature using the NSQIP database [8,9]. Since 90% of the patients in the NSQIP database undergoing revision hip and knee arthroplasty were discharged within 7 days postoperatively, prolonged hospital stay was defined as a hospital stay exceeding 7 days.…”

Major Complications and Transfusion Rates After Hemiarthroplasty and Total Hip Arthroplasty for Femoral Neck Fractures

“…The separation of complications into major and minor is based on previous literature using the NSQIP database [27][28][29]. The same patient was considered only once in the calculation of major complication even if that patient sustained more than one major complication within 30 days of surgery.…”

Revision total knee arthroplasty

“…10 Inacio et al 11 found no significant differences in the revision incidence when considering different bearing materials and surfaces: oxidized zirconium femoral implants or highly cross-linked polyethylene inserts paired with traditional bearings (cobalt-chromium on conventional polyethelene). 11 COMPLICATIONS Dieterich et al 12 used the National Surgical Quality Improvement (NSQIP) database to investigate the risk factors for short-term complications after revision TKAs. They identified several risk factors for short-term complications (within 30 d of revision TKA): male gender (P ¼ 0.03), ASA class > 2 (P ¼ 0.017), wound class > 2 (P < 0.0001), emergency operation (P ¼ 0.038), and pulmonary comorbidities (P ¼ 0.047).…”