Total Knee Arthroplasty in Patients With Juvenile Idiopathic Arthritis

Heyse, Thomas J.; Ries, Michael D.; Bellemans, Johan; Goodman, Stuart B.; Scott, Richard D.; Wright, Timothy M.; Lipman, Jospeh D.; Schwarzkopf, Ran; Figgie, Mark P.

doi:10.1007/s11999-013-3095-3

Cited by 30 publications

(29 citation statements)

References 14 publications

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“…The mean age ranged from 7.2 to 33.0 years. The most common reason for revision was infection; this was followed by loosening, which was thought to be due to a high activity level in these patients 6 . Additionally, stiffness was reported as a reason for revision in some patients.…”

Section: Discussionmentioning

confidence: 89%

“…Degenerative joint disease, in particular osteoarthritis, is the principal diagnosis responsible for almost 90% of primary total hip arthroplasties (THAs) and >90% of primary total knee arthroplasties (TKAs) in the adult population. In contrast, end-stage juvenile inflammatory arthritis, severe developmental dysplasia (developmental dislocation) of the hip, various causes of osteonecrosis, and tumors are some of the most common reasons for joint replacement in pediatric patients [1][2][3][4][5][6][7] . The treatment of severe articular and periarticular disease in young people is controversial, with many researchers advocating conservative therapies or alternative operative approaches while others recommend that joint replacement be considered depending on the diagnosis, degree of disability, and long-term outlook for the child 5 .…”

mentioning

confidence: 99%

“…It is possible that such patients have more complications and earlier revision compared with the adult population, and there are several reasons for suspecting this to be the case. The surgery is potentially more difficult and more extensive at this age, and some of the diagnoses leading to joint replacement are likely to be associated with increased surgical risks 6 . Pediatric patients may require smaller, more complex, or customized implants, which may also be associated with an increased rate of early revision.…”

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confidence: 99%

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Survivorship of Hip and Knee Implants in Pediatric and Young Adult Populations

Sedrakyan¹,

Romero²,

Graves³

et al. 2014

The Journal of Bone and Joint Surgery

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Compared with older adults, pediatric patients and young adults undergoing THA and TKA have very different diagnoses, including a high prevalence of tumor. Although the reported rate of revision surgery is currently similar to that for older patients, the number of reported procedures and the follow-up period remain limited. It is important for registries to continue to collect and analyze data relevant to this cohort and to coordinate these activities in order to better understand the safety and effectiveness of joint arthroplasty in the pediatric population.

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Section: Discussionmentioning

confidence: 89%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Survivorship of Hip and Knee Implants in Pediatric and Young Adult Populations

Sedrakyan¹,

Romero²,

Graves³

et al. 2014

The Journal of Bone and Joint Surgery

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“…In addition, due to the surgeon's confidence in the surgical procedure based on the experience of obtaining favorable outcomes in young patients with rheumatoid arthritis, TKA has become considered as a treatment of choice in young patients with degenerative arthritis. However, the results of TKAs were less satisfactory in younger patients and recent research using the social, academic, and national registry data showed that revision rates were higher in younger patients4,6).…”

Section: Discussionmentioning

confidence: 99%

Causes of Failure after Total Knee Arthroplasty in Osteoarthritis Patients 55 Years of Age or Younger

Kim¹,

Lee²,

Ko³

et al. 2014

Knee Surg Relat Res

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PurposeTo identify the modes of failure after total knee arthroplasty (TKA) in patients >55 years of age and to compare with those >55 years of age in patients who underwent revision TKA.Materials and MethodsWe retrospectively reviewed 256 revision TKAs among patients who underwent TKA for knee osteoarthritis between January 1992 and December 2012. The causes of TKA failure were analyzed and compared between the groups.ResultsThirty-one revision TKAs were performed in patients ≤55 years of age at the time of primary TKA, whereas 225 cases were in those >55 years of age at primary TKA. In the ≤55 years of age group, the most common cause of TKA failure was polyethylene wear (45%) followed by infection (26%) and loosening (17%). The interval from primary TKA to revision was 8.6 years (range, 1 to 17 years). There were relatively lower infection rate and higher loosening rate in patients ≤55 years of age, but the difference was not statistically significant.ConclusionsThe main causes of failure after TKA in patients ≤55 years of age were polyethylene wear, infection and loosening, and there was no significant difference in the modes of failure after TKA between the two groups.

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“…This can be devastating in young patients, often in their teens and twenties. When the knee experiences extensive arthritis and incongruity due to SOK, knee arthroplasty is probably the best option [23][24][25]. However, the longevity of knee arthroplasty in younger patients is limited [26].…”

Section: Discussionmentioning

confidence: 99%