Assessment of mid-term outcomes and bone loss/quality in patients undergoing Revision Total Knee Arthroplasty (TKA)

  • Dr Athawale Tanmay Suneel Department of Orthopedics, Devgad Medical Foundation, India
  • Dr Jignesh Singh Department of Orthopedics, Deoyani Multispeciality Hospital, India
  • Dr Sudhanshu Chitravanshi
  • Dr Amogha Siddesh Narasanagi
  • Dr Abhay Shaileshbhai Patel Department of Orthopedics, GMERS Medical College and Hospital, Dharpur, Patan, India
Keywords: Knee, , Arthroplasty, Revision

Abstract

Abstract

Background and Aim: Revision total knee arthroplasty (TKA) is one of the most demanding and complex procedures in orthopedic surgery. The aim of this study was to evaluate the outcomes of a consecutive series of rTKA in which implant fixation has been obtained in at least two zones. Factors that may contribute to intraoperative management decisions and postoperative outcomes were evaluated.

Materials and Method: After registry evaluation, 115 patients matched the inclusion criteria and were included in the study. All patients were evaluated pre-operatively, including assessment for periprosthetic joint infection. All patients who underwent RTKA for infection received a two-stage revision with a minimum of 6 weeks between initial debridement and removal of implants and the second-stage revision.

Results: The mean OKS or the post operative function outcome was found to be 41.38. The range of motion increased from 900 to 1100 at the one year post operative period.  Approximately 75% of patients were satisfied with their RTKA and stated that they would undergo an RTKA again. Survival rate of 95.8% was demonstrated within the patients who were able to be contacted. Eight RTKAs in 5 patients demonstrated failure of TKA and required re-revision. 

Conclusion: Revision TKA is a demanding procedure for both the surgeon and the patient, but if a step-wise approach is used during surgery, bone loss is correctly evaluated and treated, and good implant fixation is obtained, good clinical and radiological outcomes may be achieved at mid-term follow-up

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How to Cite
Dr Athawale Tanmay Suneel, Dr Jignesh Singh, Dr Sudhanshu Chitravanshi, Dr Amogha Siddesh Narasanagi, & Dr Abhay Shaileshbhai Patel. (2023). Assessment of mid-term outcomes and bone loss/quality in patients undergoing Revision Total Knee Arthroplasty (TKA). Surgical Review: International Journal of Surgery, Trauma and Orthopedics, 8(6), 40-44. Retrieved from https://surgical.medresearch.in/index.php/ijoso/article/view/265
Issue
Vol 8 No 6 (2022): Nov-Dec
Section
Original Article

Copyright (c) 2023 Author (s). Published by Siddharth Health Research and Social Welfare Society

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