Outcomes in revision total knee arthroplasty (Review).

analysis failure outcome revision survival total knee arthroplasty

Journal

Experimental and therapeutic medicine
ISSN: 1792-1015
Titre abrégé: Exp Ther Med
Pays: Greece
ID NLM: 101531947

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 16 08 2021
received: 15 09 2021
entrez: 26 11 2021
pubmed: 27 11 2021
medline: 27 11 2021
Statut: ppublish

Résumé

Revision total knee arthroplasty (TKA) is a challenging surgical procedure. Although good results are presented, the outcomes are worse in comparison with those of primary TKA, with a higher failure rate. The main reasons for the failure of revision TKA include: sepsis, loosening and instability. There are multiple variables linked to these results, and it is difficult to determinate the exact cause as it is often a multifactorial issue. These variables may be related to the quality of the index-procedure (TKA), to the revision procedure or to patient characteristics. The purpose of this review was to highlight the outcomes of revision knee arthroplasty and main factors that may influence the results. Considerable progress has been made during the last 30 years regarding infection treatment and prevention, complex revision prosthetic design and surgical technique development. Although the outcomes have improved over time, patients who undergo revision TKA may need further re-operations in the future.

Identifiants

pubmed: 34824637
doi: 10.3892/etm.2021.10951
pii: ETM-0-0-10951
pmc: PMC8611497
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

29

Informations de copyright

Copyright © 2020, Spandidos Publications.

Déclaration de conflit d'intérêts

The authors declare no conflict or competing interests.

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Auteurs

Mihai Dan Roman (MD)

Department of Orthopedic and Trauma Surgery, 'Lucian Blaga' University, 550276 Sibiu, Romania.

Octav Russu (O)

Department of Orthopedic Surgery, 'George Emil Palade' University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania.

Calin Mohor (C)

Department of Orthopedic and Trauma Surgery, 'Lucian Blaga' University, 550276 Sibiu, Romania.

Radu Necula (R)

Department of Orthopedic Surgery, 'Transilvania' University, 500036 Brasov, Romania.

Adrian Boicean (A)

Department of Orthopedic and Trauma Surgery, 'Lucian Blaga' University, 550276 Sibiu, Romania.

Adrian Todor (A)

Department of Orthopedic Surgery, 'Iuliu Hatieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Cosmin Mohor (C)

Department of Orthopedic and Trauma Surgery, 'Lucian Blaga' University, 550276 Sibiu, Romania.

Sorin Radu Fleaca (SR)

Department of Orthopedic and Trauma Surgery, 'Lucian Blaga' University, 550276 Sibiu, Romania.

Classifications MeSH