Total knee arthroplasty for post-traumatic arthrosis

Lonner, Jess H.; Pedlow, Frank X.; Siliski, John M.

doi:10.1016/s0883-5403(99)90012-8

Cited by 111 publications

(101 citation statements)

References 13 publications

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“…We believe that we have validated this author's affirmation, although attention is required with regard to the greater postoperative complication rate (31,32) .…”

Section: Discussionsupporting

confidence: 56%

Artroplastia total do joelho em paciente com pseudoartrose de fratura de Hoffa: relato de caso

et al. 2011

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“…We believe that we have validated this author's affirmation, although attention is required with regard to the greater postoperative complication rate (31,32) .…”

Section: Discussionsupporting

confidence: 56%

Artroplastia total do joelho em paciente com pseudoartrose de fratura de Hoffa: relato de caso

et al. 2011

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“…For ACLR, it is reported that the cumulative incidence of TKA is low at 1.4% (4). However, this incidence is still seven times greater than the general population (4,(7)(8)(9)(10)(11)(12)(13)(14)(15). Similarly, in a 10-year follow-up study by Wasserstein et al [2014] (11), 7.3% of patients who underwent fracture fixation of the tibial plateau subsequently had a TKA.…”

Section: Discussionmentioning

confidence: 98%

History of previous knee surgery does not affect the clinical outcomes of primary total knee arthroplasty in an Asian population

Lim¹,

Loh²,

Chong³

et al. 2016

Ann. Transl. Med.

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Background: Patients with a history of previous knee surgeries, such as anterior cruciate ligament reconstruction (ACLR) and high tibial osteotomy (HTO), often have a higher likelihood of requiring a subsequent total knee arthroplasty (TKA). However, there is relatively limited data, especially in the Asian population, on how previous knee surgery could affect the clinical outcomes of TKA. Therefore, this study aims to evaluate the impact of previous knee surgeries on the clinical outcomes of future TKA. Methods:We reviewed the prospectively-collected data of 303 patients who underwent TKA by a single surgeon from a total joint registry of a tertiary hospital over a period of 5 years. Those with a history of previous knee surgery were identified. The SF-36 Health Survey, Oxford Knee Score (OKS) and Knee Society Score (KSS) were used to evaluate clinical outcomes pre-operatively, at 6 months and 2 years.Results: Previous knee surgery did not have a significant impact on the patients' pre-operative baseline clinical scores and body mass index (BMI). Patients with a history of knee surgery undergo TKA at a significantly younger age (mean of 6.6 years younger). On follow-up, patients with a history of knee surgery have similar post-operative outcome scores as those without previous knee surgery. Also, a high proportion of these patients are satisfied with their post-operative results and feel that their expectations have been met. Conclusions:Patients with previous knee surgery had TKA at a significantly younger age than those without.But these patients have similar clinical and quality of life outcomes after TKA. In addition, a high proportion of these patients are satisfied with the results of surgery and feel that their expectations of TKA are met. This is important for clinicians when counselling patients pre-operatively.

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“…Lonner et al [9] analysing 31 cases treated for posttraumatic osteoarthritis pointed out a significant clinical improvement both of pain and joint function. However, complications occurred in 57% of cases, including aseptic failure (26%), septic failure (10%), patellar tendon rupture (3%), patellar subluxation (6%), DVT (6%) and wound breakdown requiring debridement and muscle flap coverage (6%).…”

Section: Discussionmentioning

confidence: 98%

“…In both cases there is a complex anatomy with, bone defects, bone atrophy, capsular adhesions and scar fibrosis of periarticular soft tissues, retraction of the extensor mechanism, retained internal fixation devices, extra-articular malalignment and previous scars [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Total knee arthroplasty after complex tibial plateau fractures

et al. 2009

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Total knee arthroplasty following complex fractures of the tibial plateau is considered a challenge for orthopaedic surgeons and clinical outcomes may vary. A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean follow-up: 92 months) were available. We had two significative complications: one partial avulsion of the patellar tendon, conservatively treated by bracing, and one case of deep venous thromboembolism, managed with low molecular weight heparin. In two cases (8%) there was a failure of the implant; nine cases were excellent, nine good, four fair and one poor. A percentage of patients with previous complex proximal tibia fractures had an increased rate of postoperative complications due to anatomical deformity, functional deficiency and post-traumatic arthritis and required solutions similar to revision surgery. Total knee arthroplasty is a suitable solution for the treatment of these challenging cases: compared to primary knee replacement, final KSS score is generally lower, but improvement is similar due to poorer pre-operative scores.

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Total knee arthroplasty for post-traumatic arthrosis

Cited by 111 publications

References 13 publications

Artroplastia total do joelho em paciente com pseudoartrose de fratura de Hoffa: relato de caso

Artroplastia total do joelho em paciente com pseudoartrose de fratura de Hoffa: relato de caso

History of previous knee surgery does not affect the clinical outcomes of primary total knee arthroplasty in an Asian population

Total knee arthroplasty after complex tibial plateau fractures

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