The likelihood of total knee arthroplasty following arthroscopic surgery for osteoarthritis: a systematic review

Winter, Amelia R.; Collins, Jamie E.; Katz, Jeffrey N.

doi:10.1186/s12891-017-1765-0

Cited by 50 publications

(54 citation statements)

References 34 publications

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“…Knee osteoarthritis (OA) is a common and frequently occurring disease among the elderly; about 14 million Americans are subjected to osteoarthritis of knee (Winter, Collins, & Katz, ). According to the Census Bureau, the knee OA proportion of the U.S. population comprising of African Americans and Hispanics would be projected to rise from 38% in 2014 to 56% of the total population by 2060 (Karmarkar et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Curcumin reduces inflammation in knee osteoarthritis rats through blocking TLR4 /MyD88/NF‐κB signal pathway

Zhang

Zeng

2019

Drug Development Research

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Preclinical Research & Development Curcumin has been shown to possess a series of beneficial effects, such as antiinflammatory, antioxidant, analgesic, and promoting healing. However, the effect and relative mechanism of curcumin on knee osteoarthritis (OA) have not been elucidated. The aim of this study is to explore the protective effect of curcumin on monosodium iodoacetate (MIA)‐induced OA. Forty‐eight rats were randomized into four experimental groups: control group, OA group, OA + PBS group, and OA + curcumin group, respectively. A single intraarticular injection of MIA was applied to establish the rat model of knee OA. Hematoxylin–eosin staining was used to evaluate histological changes of knee joint. The paw withdrawal threshold was collected and the expression of synovial fluid cytokine levels was measured by ELISA. The protein expression of TRL‐4, MyD88, p‐IκBα, NF‐κB, TNF‐α, IL‐1β, and IL6 was measured by western blot. Treating with curcumin can significantly reduce joint diameter and Mankin's score, and increase the paw withdrawal threshold. The expression of synovial fluid inflammatory biomarkers, IL‐6, IL‐1β, and TNF‐α in the OA + curcumin group were lower than that in OA and OA + PBS group. The protein expression of the TLR4 receptor was increased in the OA, OA + PBS, and OA + curcumin group compared to the control group. However, curcumin treatment can significantly decrease the expression of MyD88, p‐IκBα, NF‐κB, TNF‐α, IL‐1β, and IL6 in OA + curcumin group. These findings may indicate that curcumin could block TLR4/NF‐κB signal pathway, and reduce inflammation level to prevent knee wound in OA rats. Curcumin may be a feasible kind of medicament in the treatment of knee OA.

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Section: Introductionmentioning

confidence: 99%

“…osteoarthritis of knee (Winter, Collins, & Katz, 2017). According to the Census Bureau, the knee OA proportion of the U.S. population comprising of African Americans and Hispanics would be projected to rise from 38% in 2014 to 56% of the total population by 2060 (Karmarkar et al, 2017).…”

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confidence: 99%

Curcumin reduces inflammation in knee osteoarthritis rats through blocking TLR4 /MyD88/NF‐κB signal pathway

Zhang

Zeng

2019

Drug Development Research

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“…Comparatively, the mean duration to knee arthroplasty following arthroscopy reported in a meta-analysis of 20 studies was 3.4 years. 15 In another study which closely resembles our patient population in terms of severity of knee osteoarthritis, the mean duration to knee arthroplasty was 4.4 years. 19 The patients in our study had a better mean survivorship following arthroscopic surgery compared to that reported in Western studies.…”

Section: Discussionmentioning

confidence: 63%

“…In a study by Winter et al, patients with a mean age of less than 65 had a yearly incidence of knee arthroplasty of 1.87% compared to 5.13% in those with a mean age of more than 65. 15 In our study, the mean age at which patients underwent arthroscopic surgery was 60 years. This could explain the slightly older age at which subsequent arthroplasty was performed.…”

Section: Discussionmentioning

confidence: 76%

Arthroscopic procedures could delay the need for a subsequent knee arthroplasty in older patients with end-stage osteoarthritis

Phua

Razak

Mitra

2020

J Orthop Surg (Hong Kong)

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Background/objective: Arthroscopic surgery in knee osteoarthritis is controversial with many studies refuting its efficacy in recent literature. This study aims to evaluate the mean duration to knee arthroplasty, and the effect of microfracture on the need for subsequent knee arthroplasty in patients above the age of 55 undergoing arthroscopic procedures for osteoarthritis. Methods: One hundred and nine consecutive patients with diagnosed osteoarthritis who underwent arthroscopic surgery performed from January 2000 to December 2012 on patients aged 55 years and above by a single surgeon were reviewed retrospectively. Demographic data, age at operation, comorbidities, perioperative details and information of subsequent total knee arthroplasty were collected and analysed. Results: There were 38 males and 71 females in our study group. The group was predominantly Chinese (51.38%), with hypertension and hyperlipidaemia being the most common comorbidities, each affecting 57.8% of our study cohort. All patients had a preoperative radiograph and a magnetic resonance imaging confirming the diagnosis of osteoarthritis associated with meniscal tears. Fifty-eight knees underwent microfracture along with arthroscopic meniscectomy. The mean follow-up duration was 127.5 months (10.5 years, range: 67-212 months). Twenty three patients (20.91%) underwent knee arthroplasties subsequently, with the mean duration to arthroplasty being 65.0 months (5.5 years, range: 7-166 months). The odds ratio of avoiding knee arthroplasty with microfracture was 1.03 (95% CI ¼ 0.410-2.581). Conclusion: Arthroscopic procedures could possibly delay the need for subsequent knee arthroplasty for approximately 65 months in older patients with osteoarthritis. However, microfracture does not affect the duration between therapeutic arthroscopy and subsequent arthroplasty. Our long-term retrospective study provides an additional step in the understanding of the impact of arthroscopic procedures and a prospective case-control study would be an ideal follow-up to fully justify the application of arthroscopic procedures to delay knee arthroplasty.

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“…About 2 million 4]. A recent systematic review has indicated an annual rate of progression to TKA of 2.6% [5]. Thus, it is inevitable to perform a TKA in a patient with a prior KA for contemporary arthroplasty surgeons.…”

Section: Introductionmentioning

confidence: 99%

When Can Be Safely Performed Total Knee Arthroplasty Following Prior Arthroscopy?

Ma¹,

Li²,

Liang³

et al. 2020

Preprint

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Abstract Background The optimal time to perform a total knee arthroplasty (TKA) after knee arthroscopy (KA) was controversial in the literature. We aimed to 1) explore the effect of prior KA on the subsequent TKA; 2) identify who were not suitable for TKA in patients with prior KA; and 3) determine the timing of TKA following prior KA. Methods We retrospectively reviewed 87 TKAs with prior KA and 174 controls using propensity score matching in our institution. The minimum followup was 2 years. Postoperative clinical outcomes were compared between groups. Kaplan-Meier curves were created with reoperation as an end point. Multivariate Cox proportional hazards regressions were performed to identify risk factors of severe complications in the KA group. The two-piecewise linear regression analysis was performed to examine the optimal timing of TKA following prior KA. Results The all-cause reoperation, revision and complication rates of KA group were significantly higher than those of control group (p < 0.05). The survivorship of KA group and control group was 92.0% and 99.4% at the 2-year followup (p = 0.002), respectively. Male (Hazards ratio [HR] = 3.2) and prior KA for anterior cruciate ligament (ACL) injury (HR = 4.4) were associated with postoperative complications in the KA group. There was a non-liner relationship between time from prior KA to TKA and postoperative complications with the turning point at 9.4 months. Conclusion Prior KA is associated with worse outcomes following subsequent TKA, especially male patients and those with prior KA for ACL injury. The optimal timing of TKA may be 9 months after prior KA. Surgeons should keep these findings in mind when treating patients who are scheduled to undergo TKA with prior KA.

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The likelihood of total knee arthroplasty following arthroscopic surgery for osteoarthritis: a systematic review

Cited by 50 publications

References 34 publications

Curcumin reduces inflammation in knee osteoarthritis rats through blocking TLR4 /MyD88/NF‐κB signal pathway

Curcumin reduces inflammation in knee osteoarthritis rats through blocking TLR4 /MyD88/NF‐κB signal pathway

Arthroscopic procedures could delay the need for a subsequent knee arthroplasty in older patients with end-stage osteoarthritis

When Can Be Safely Performed Total Knee Arthroplasty Following Prior Arthroscopy?

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