Document Detail


MI TKA: A Risk Factor for Early Revision Surgery.
MedLine Citation:
PMID:  23150354     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Minimal incision total knee arthroplasty (MI TKA) was developed with the potential to decrease surgical trauma, pain, and recovery time. While this procedure has increased in popularity, some surgeons have questioned its safety and long-term efficacy. In this study 58 consecutive revision total knee arthroplasties (TKAs) (57 patients) performed at one academic medical center from 2006 to 2008 are reviewed. Prospectively collected clinical and radiographic data included: incision length, gender, age, time to revision surgery, and primary diagnosis at time of revision. Of these, 34 knees involving infection and rerevision were excluded. Of the remaining 24 knees, 11 knees that met inclusion criteria had undergone MI TKA. There were no differences between the groups with regard to age, diagnosis, body mass index, and gender. Average time to revision was shorter for the MI TKA patients (29 vs. 65 months, p < 0.032, odds ratio 14.7). Reasons for revision were aseptic loosening (55%), pain/stiffness (27%), malrotation (9%), and instability (9%) in the MI TKA group and aseptic loosening (53%), instability (15%), pain/stiffness (8%), malrotation (8%), combined malrotation and instability (8%), and polyethylene wear/osteolysis (8%) in the traditional TKA group. These data suggest that MI TKA may be a risk factor for early revision.
Authors:
Robert E Mayle; Bradley P Graw; Heather G Huddleston; Steven T Woolson; Stuart B Goodman; James I Huddleston
Related Documents :
23254324 - Feasibility study of analgesia via epidural versus continuous wound infusion after lapa...
23022644 - Long-term effectiveness of a reconstructive protocol using the nasoseptal flap after en...
760484 - Evaluation of therapeutic methods in high altitude pulmonary edema.
24721024 - A comparison of suprascapular nerve block and procedural sedation analgesia in shoulder...
16549704 - Finasteride treatment of female pattern hair loss.
12686834 - A new form of noninvasive wound closure with a surgical zipper.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-15
Journal Detail:
Title:  The journal of knee surgery     Volume:  25     ISSN:  1538-8506     ISO Abbreviation:  J Knee Surg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137599     Medline TA:  J Knee Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  423-428     Citation Subset:  -    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Affiliation:
Department of Orthopaedic Surgery, Stanford University, Redwood City, California.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Improvement in Quality of Life with Use of an Unloader Knee Brace in Active Patients with OA: A Pros...
Next Document:  Posteromedial Corner Injury in Knee Dislocations.