Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

Abdel, Matthew P.; Roth, Philipp von; Cross, William W.; Berry, Daniel J.; Trousdale, Robert T.; Lewallen, David G.

doi:10.1016/j.arth.2015.06.032

Cited by 66 publications

(47 citation statements)

References 19 publications

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“…In the present study, the complication rate was 16.9% and the reoperation rate was 8.3%, which was comparable to the results of previous studies. Meanwhile, most of the complications occurred at an early stage (within 3 months after surgery), which is also in accordance with other studies 9,15 . The high complication rates would inevitably affect the survivorship of the prosthesis and functional outcome of patients after TKA, so it is important to identify related risk factors for TKA following femoral or tibial fractures.…”

Section: Discussionsupporting

confidence: 92%

“…Shearer et al 8 reported on 46 patients who underwent TKA for osteoarthritis secondary to femoral or tibial fracture with a follow-up of 52 months; the knee score improved from 30 to 57 and the function score improved from 39 to 46. Abdel et al 15 reported on 45 patients who underwent TKA for osteoarthritis secondary to fracture of the tibial plateau with a follow-up of 16 years, and the ROM improved from 99 to 105 , and the Knee Society knee score and function score improved from 44 and 52 to 80 and 70, respectively. The results of our study were similar to those observed in these studies.…”

Section: Discussionmentioning

confidence: 99%

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Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations

Wang

Zhou

Shao

et al. 2020

Orthopaedic Surgery

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Objective To investigate the outcomes of total knee arthroplasty (TKA) in patients with a prior femoral or tibial fracture, and identify the risk factors for surgical site complications and reoperations. Methods Seventy‐one TKAs performed in 71 patients with a prior tibial or femoral fracture between January 2005 and December 2016 were reviewed retrospectively. Forty males (40 knees) and 31 females (31 knees) were included. The mean age at the time of TKA was 59.2 (range, 29–83) years. Outcomes were assessed using the Knee Society score before surgery and at the final follow‐up visit. The patients' satisfaction rates were evaluated. Complications and reoperations were recorded by clinical and radiographic assessment. Logistic regression analysis was used to identify the risk factors for surgical site complications and reoperations. Results The median follow‐up period was 4.7 (range, 3.2–7.1) years. The median knee range of motion increased from 90° preoperatively to 110° at the latest follow‐up. The Knee Society knee score and function score improved from 35 (30, 40) and 40 (30, 50) to 90 (82, 93) and 90 (65, 100), respectively. The degree of overall satisfaction after TKA surgery was very satisfied in 41 patients, satisfied in 20 patients, neutral in four patients, dissatisfied in four patients, and very dissatisfied in two patients. The overall satisfaction (very satisfied and satisfied) rate was 85.9% (61 knees). Twelve knees (16.9%) had 19 surgical site complications. Six knees (8.3%) underwent reoperations, including one revision due to periprosthetic joint infection, one debridement and implant retention for superficial infection, two debridements for delayed wound healing, one open reduction and internal fixation for supracondylar fracture, and one re‐fixation and bone grafting for hardware failure after a combined femoral shaft osteotomy and TKA. Preoperative patella baja was diagnosed in 12 knees, and was identified as a risk factor for surgical site complications and reoperations. Conclusions TKA for post‐fracture osteoarthritis significantly relieved pain and improved function, but the incidence of surgical site complications and reoperations was high. Preoperative patella baja was a risk factor for surgical site complications and reoperations.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations

Wang

Zhou

Shao

et al. 2020

Orthopaedic Surgery

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“…Metaphyseal osteotomy and perfect contact between the bone surfaces (without cement interposition) reduced the risk of nonunion. A recent study by Abdel et al 14 determined the long-term outcome (15 years) of 62 TKA procedures in patients with previous tibial plateau fracture. The authors showed that survival free of revision for aseptic loosening was 96%, while survival free of any revision was lower (82%), mainly due to polyethylene wear.…”

Section: Discussionmentioning

confidence: 99%

Knee replacement in chronic post-traumatic cases

et al. 2016

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Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach, axis, bone loss, choice of implant and level of constraint are indispensable.There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.Use of an algorithms can support the surgeon’s choice of implant.Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty.Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement in chronic post-traumatic cases. EFORT Open Rev 2016:1:211-218. DOI: 10.1302/2058-5241.1.000025.

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“…Similarly, THA for femoral neck fractures is associated with a higher risk of aseptic loosening 43 . TKA following open reduction and internal fixation of a tibial plateau fracture presents similar technical challenges but does not increase the risk of aseptic loosening 44 . Even though evidence for a direct impact of skeletal degeneration and inflammatory processes on patient risk remains inconclusive, it is likely that the physiological condition of the patient will modify the cellular and molecular processes that guide skeletal tissue repair around the implant after surgery.…”

Section: Surgical Indicationsmentioning

confidence: 99%

Clinical Factors, Disease Parameters, and Molecular Therapies Affecting Osseointegration of Orthopedic Implants

et al. 2016

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Total hip and knee arthroplasty are effective interventions for management of end-stage arthritis. Indeed, about 7 million Americans are currently living with artificial hip and knee joints. The majority of these individuals, however, will outlive their implants and require revision surgeries, mostly due to poor implant osseointegration and aseptic loosening. Revisions are potentially avoidable with better management of patient-related risk factors that affect the osseointegration of orthopedic implants. In this review, we summarize the published clinical literature on the role of demographics, biologic factors, comorbidities, medications and aseptic loosening risk. We focus on several systemic and local factors that are particularly relevant to implant osseointegration. Examples include physiological and molecular processes that are linked to hyperglycemia, oxidative stress, metabolic syndrome and dyslipidemia. We discuss how orthopedic implant osseointegration can be affected by a number of molecular therapies that are antiresorptive or bone anabolic (i.e. calcium, vitamin D, bisphosphonates, calcitonin, strontium, hormone replacement therapy, selective estrogen-receptor modulators).

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Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

Cited by 66 publications

References 19 publications

Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations

Total Knee Arthroplasty in Patients with Prior Femoral and Tibial Fractures: Outcomes and Risk Factors for Surgical Site Complications and Reoperations

Knee replacement in chronic post-traumatic cases

Clinical Factors, Disease Parameters, and Molecular Therapies Affecting Osseointegration of Orthopedic Implants

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