Causes and Clinical Outcomes of Revision Total Knee Arthroplasty
이동현, 이승훈, 송은규, 선종근, 임홍안, 양홍열,
소속 상세정보
이동현 ( Lee Dong-Hyun )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
이승훈 ( Lee Seung-Hun )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
송은규 ( Song Eun-Kyoo )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
선종근 ( Seon Jong-Keun )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
임홍안 ( Lim Hong-An )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
양홍열 ( Yang Hong-Yeol )
Chonnam National University Hwasun Hospital Center for Joint Disease Department of Orthopedic Surgery
KMID : 0359620170290020104
Abstract
Purpose: The purpose of this study was to evaluate causes and clinical outcomes of revision total knee arthroplasty (TKA) with a minimum 2-year follow-up.
Materials and Methods: We performed a retrospective review on the records of 225 revision TKAs performed from 2003 to 2012 at a single institution. Finally, 206 cases were conducted. To evaluate clinical outcomes, we checked the range of motion (ROM), Knee Society (KS) score, Hospital for Special Surgery (HSS) score, and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score preoperatively, 6 months postoperatively and yearly thereafter and complications after revision TKA.
Results: The causes of revision TKA were septic complications in 120 and aseptic complications in 86. The main aseptic complication was periprosthetic fracture in 36, followed by 25 loosening, 13 polyethylene wear and 9 instability. At the final follow-up, patients showed improvements in ROM and KS, HSS and WOMAC scores. Of the total, 7 patients underwent re-revision due to reinfection in 6 and periprosthetic fracture in 1.
Conclusions: Due to development of implants and surgical techniques, mechanical complications such as aseptic loosening and instability that need a revision decreased whereas septic complications relatively increased. Therefore, we should be cautious for the occurrence of infection. Overall, revision TKA provided clinical improvement in knee function and patient satisfaction.
키워드
Knee; Arthroplasty; Revision; Cause; Outcome
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