Posttraumatic Total Knee Arthroplasty Continues to Have Worse Outcome Than Total Knee Arthroplasty for Osteoarthritis.
J Arthroplasty
; 31(1): 118-23, 2016 Jan.
Article
em En
| MEDLINE
| ID: mdl-26264176
ABSTRACT
Small studies have shown that patients who undergo TKA following a distal femur and/or tibial plateau fracture have inferior results. The purpose of this study was to evaluate the mid-term outcomes of a large group of patients undergoing TKA following periarticular knee fractures. We identified 531 patients who underwent a TKA following a periarticular fracture from 1990 to 2012; comparing outcomes to 19,641 patients undergoing primary TKA for osteoarthritis. Periarticular fracture significantly increased the risk of revision TKA, infection and complications. There was no difference in the need for revision TKA or infection based on fracture location. Patients with TKA following a periarticular fracture have worse overall revision free survival compared to with OA, with 1 in 4 patients requiring revision TKA by 15 years.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reoperação
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Fraturas da Tíbia
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Artroplastia do Joelho
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Osteoartrite do Joelho
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Fraturas do Fêmur
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Traumatismos do Joelho
Tipo de estudo:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Arthroplasty
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2016
Tipo de documento:
Article