Comparison of Revision Risk Based on Timing of Knee Arthroscopy Prior to Total Knee Arthroplasty

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alex Gu ◽  
Safa C. Fassihi ◽  
Lauren E. Wessel ◽  
Cynthia Kahlenberg ◽  
Michael P. Ast ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Total Knee ◽  
Revision Risk

scholarly journals Incidence and predictors of total knee arthroplasty following knee arthroscopy

2018 ◽  
Vol 15 (1) ◽  
pp. 32-35
Author(s):  
Tristan Camus ◽  
Jiho Han ◽  
Feroz Osmani ◽  
Norman Scott ◽  
William J. Long
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Total Knee

Total Knee Arthroplasty following Knee Arthroscopy in Patients over 50

2021 ◽  
Author(s):  
J. Stewart Buck ◽  
Susan M. Odum ◽  
Jonathan K. Salava ◽  
David M. Macknet ◽  
Thomas K. Fehring ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Administrative Database ◽  
Univariable Analysis ◽  
Digital Radiographs ◽  
Multivariable Regression ◽  
Total Knee ◽  
Arthroscopic Knee ◽  
And Control

AbstractThe purpose of this study was to evaluate the conversion rate of knee arthroscopy to ipsilateral total knee arthroplasty (TKA) within 2 years in patients aged 50 or older at the time of arthroscopy. The administrative database from a large, physician-owned orthopaedic practice (>100 surgeons) was queried to identify patients over the age of 50 who had undergone arthroscopic knee surgery between January 1, 2006 and January 2, 2015. The subset of patients who converted to TKA within 2 years after knee arthroscopy was identified and matched by age and sex to a control population that did not convert to TKA. Rates of conversion to TKA were calculated. Prearthroscopic digital radiographs were reviewed and Kellgren–Lawrence (KL) grades were compared among case and control populations. Univariable analyses and multivariable regression analysis were performed. Eight hundred seven of 16,061 (5.02%) patients aged 50 or older were converted to TKA within 2 years following ipsilateral knee arthroscopy. In univariable analysis, the rate of conversion to TKA in patients aged between 50 and 54 was 2.94%, compared with 4.44% in patients aged between 55 and 64, and 8.32% in patients 65 or older (p < 0.0001). Female sex was associated with a higher rate of conversion to TKA in univariable analysis (5.93 vs. 4.02% in males, p < 0.0001). KL grades were higher among patients who converted to TKA compared with those who did not (p < 0.0001). In a multivariable regression model controlling for age, sex, and KL grade, only increased KL grade was associated with increased odds of conversion to TKA. In the appropriately selected older patient, the risk of conversion to TKA within 2 years of knee arthroscopy is low (∼5%). Patients with KL grade 2 or higher at the time of arthroscopy should be counseled on the increased odds of early conversion to TKA.

Antibiotic-Laden Bone Cement Use and Revision Risk After Primary Total Knee Arthroplasty in U.S. Veterans

2020 ◽  
Vol 102 (22) ◽  
pp. 1939-1947
Author(s):  
Ilya Bendich ◽  
Ning Zhang ◽  
Jeffrey J. Barry ◽  
Derek T. Ward ◽  
Mary A. Whooley ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Bone Cement ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Total Knee ◽  
Revision Risk ◽  
Primary Total Knee

scholarly journals Prior knee arthroscopy effects on subsequent total knee arthroplasty

Medicine ◽  
2020 ◽  
Vol 99 (17) ◽  
pp. e19844
Author(s):  
Feng Hu ◽  
Xulin Chen ◽  
Yingjie Wu ◽  
Wei Liu
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Total Knee

Total Knee Arthroplasty in Patients With Prior Ipsilateral Hip Fusion: A Surgical Technique

2021 ◽  
pp. 155633162110392
Author(s):  
Carlos A. Encinas-Ullán ◽  
Primitivo Gómez-Cardero ◽  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Knee Instability ◽  
Posttraumatic Arthritis ◽  
Congenital Dislocation ◽  
Hip Arthrodesis ◽  
Rotating Hinge ◽  
Total Knee ◽  
Hip Fusion

Background: In patients with severe osteoarthritis of the knee with prior ipsilateral hip fusion who require total knee arthroplasty (TKA), a controversial issue is whether to first convert the hip fusion to a total hip arthroplasty (THA) or to perform TKA without reconstruction of the hip. Also, immobility of the ipsilateral, fused hip adds significant technical challenge because the usual positioning of the leg requires modification in order to gain access needed for the TKA. Technique: In such cases, we position the patient with the knee suspended, similar to how we perform knee arthroscopy. In our experience, the ipsilateral knee has significant deformity and is best addressed with a constrained, hinged TKA. Results: In 3 patients with severe knee osteoarthritis with prior ipsilateral hip fusion—a 72-year-old man and a 79-year-old woman with hip arthrodesis due to posttraumatic arthritis and an 81-year-old woman with hip arthrodesis due to congenital dislocation of the hip—rotating-hinge knee prostheses were implanted due to severe knee instability. All 3 patients had satisfactory results, without complications, after follow-up of 1 to 5 years. Conclusions: We obtained satisfactory results in the short and medium term without previously converting the hip arthrodesis to THA by positioning patients with the knee suspended, in a way similar to when knee arthroscopy is performed, and implanting rotating hinge TKAs due to severe preoperative knee instability.

ENDOGENOUS CORTISOL PRODUCTION IN RESPONSE TO KNEE ARTHROSCOPY AND TOTAL KNEE ARTHROPLASTY

2003 ◽  
Vol 85 (11) ◽  
pp. 2163-2167 ◽  
Author(s):  
SETH S. LEOPOLD ◽  
MICHAEL T. CASNELLIE ◽  
WINSTON J. WARME ◽  
PAUL J. DOUGHERTY ◽  
SUSAN T. WINGO ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Knee Arthroscopy ◽  
Endogenous Cortisol ◽  
Total Knee
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