medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 3

<< Back Next >>

Acta Ortop Mex 2021; 35 (3)

Knee arthroplasty revision in Uruguay over a 10-year period: survival and results

Pintos-Demichelis B, Pache S, Francescoli L

Language: Spanish
References: 34
Page: 276-281
PDF size: 133.37 Kb.


ABSTRACT

Introduction: According to the NRF (National Resource Fund) there has been an increase in the number of TKA (total knee arthroplasty) in our country. There are no studies evaluating their results. The objective of the study was to analyze survival, evaluate results and analyze the population of ATR replacements. Material and methods: A retrospective observational and descriptive cohort study of 156 cases of ATR turnover registered in the NRF was conducted between 2004 and 2014. The analysis of the cumulative percentage of survival was performed with the Kaplan-Meier method, using re-revision as an event of interest. The WOMAC, KOOS and SANE score were used to assess functional outcomes. Results: The cumulative percentage of survival was 85% at 10 years. The average scores were: KOOS 61.5, WOMAC 29.8 and SANE 65. Complications were recorded in 25% of cases (infection 14.10%). The average age was 71 years and 60.9% of the cases were in women. 62.82% of the replacements were of aseptic cause and in the vast majority (89.1%) constricted prostheses were used. Conclusion: The cumulative percentage of survival of revision TKA was 86% at 10 years according to the Kaplan-Meier method. Only 51% of revisions were functional at 10 years. We must be cautious when interpreting the results obtained with this method. Acceptable functional outcomes were recorded compared to other registries, although patient satisfaction was low in more than one third of cases and there was a high percentage of complications. A trend towards an increase in the turnover rate was observed between 2004 (1.4%) and 2014 (2%).


REFERENCES

  1. Carr AJ, Robertsson O, Graves S, et al. Knee replacement. Lancet. 2012; 379(9823): 1331-40. doi: 10.1016/S0140-6736(11)60752-6.

  2. Robertsson O, Bizjajeva S, Fenstad AM, et al. Knee arthroplasty in Denmark, Norway and Sweden. Acta Orthop. 2010; 81(1): 82-9. doi: 10.3109/17453671003685442.

  3. Robertsson O, Ranstam J, Sundberg M, W-Dahl A, Lidgren L. The swedish knee arthroplasty register. Bone Joint Res. 2014; 3(7): 217-2. doi: 10.1302/2046-3758.37.2000289.

  4. Leta TH, Lygre SHL, Skredderstuen A, Hallan G, Furnes O. Failure of aseptic revision total knee arthroplasties: 145 revision failures from the norwegian arthroplasty register, 1994-2011. Acta Orthop. 2015; 86(1): 48-57. doi: 10.3109/17453674.2014.964097

  5. Furnes O, Espehaug B, Lie SA, Vollset SE, Engesaeter LB, Havelin LI. Early failures among 7,174 primary total knee replacements: A follow-up study from the Norwegian Arthroplasty Register 1994-2000. Acta Orthop Scand. 2002; 73(2): 117-29. doi: 10.1080/000164702753671678.

  6. http://www.fnr.gub.uy/estadisticas.

  7. Kurtz SM, Ong KL, Schmier J, et al. Future clinical and economic impact of revision total hip and knee arthroplasty. J Bone Joint Surg Am. 2007; 89(Suppl 3): 144-51. doi: 10.2106/JBJS.G.00587.

  8. Pugliese L. Indicadores de demografía del envejecimiento. Asesor en Segur Soc. 2010.

  9. Bryan RS, Rand JA. Revision total knee arthroplasty. Clin Orthop Relat Res. 1982; (170): 116-122. Available in: http://www.ncbi.nlm.nih.gov/pubmed/7127936.

  10. Rand JA, Bryan RS. Revision after total knee arthroplasty. Orthop Clin North Am. 1982; 13(1): 201-12. Available in: http://www.ncbi.nlm.nih.gov/pubmed/7063192.

  11. Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ. The chitranjan ranawat award: long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop Relat Res. 2006; 452: 28-34. doi: 10.1097/01.blo.0000229356.81749.11.

  12. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988; 15(12): 1833-40. Available in: http://www.ncbi.nlm.nih.gov/pubmed/3068365.

  13. Roos EM, Toksvig-Larsen S. Knee injury and Osteoarthritis Outcome Score (KOOS) - validation and comparison to the WOMAC in total knee replacement. Heal QualLife Outcomes. 2003; 1: 1477-7525 (Electronic)):17.

  14. Anderson AF, Irrgang JJ, Kocher MS, Mann BJ, Harrast JJ, International Knee Documentation Committee. The International Knee Documentation Committee Subjective Knee Evaluation Form: normative data. Am J Sports Med. 2006; 34(1): 128-35. doi: 10.1177/0363546505280214.

  15. Sierra RJ, Cooney WP, Pagnano MW, Trousdale RT, Rand JA. Reoperations after 3200 revision TKAs: rates, etiology, and lessons learned. Clin Orthop Relat Res. 2004; (425): 200-6. Available in: http://www.ncbi.nlm.nih.gov/pubmed/15292808.

  16. Sheng P-Y, Konttinen L, Lehto M, et al. Revision total knee arthroplasty: 1990 through 2002. A review of the Finnish arthroplasty registry. J Bone Joint Surg Am. 2006; 88(7): 1425-30. doi: 10.2106/JBJS.E.00737.

  17. Suarez J, Griffin W, Springer B, Fehring T, Mason JB, Odum S. Why Do revision knee arthroplasties fail? J Arthroplasty. 2008; 23(Suppl.6): 99-103. doi: 10.1016/j.arth.2008.04.020.

  18. Mortazavi SMJ, Molligan J, Austin MS, Purtill JJ, Hozack WJ, Parvizi J. Failure following revision total knee arthroplasty: infection is the major cause. Int Orthop. 2011; 35(8): 1157-64. doi: 10.1007/s00264-010-1134-1.

  19. Bae DK, Song SJ, Heo DB, Lee SH, Song WJ. Long-term survival rate of implants and modes of failure after revision total knee arthroplasty by a single surgeon. J Arthroplasty. 2013; 28(7): 1130-4. doi: 10.1016/j.arth.2012.08.021.

  20. Gujarat Green Revolution Company. National Joint Registry for England, Wales, Northern Ireland and the Isle of Man. 15th Annual Report. Vol 1821, 2017.

  21. The New Zealand Joint Registry Annual Report Editorial Committee. 2017.

  22. https://aoanjrr.sahmri.com.

  23. Mabry TM, Vessely MB, Schleck CD, Harmsen WS, Berry DJ. Revision total knee arthroplasty with modular cemented stems: long-term follow-up. J Arthroplasty. 2007; 22(6 Suppl 2): 100-105. doi: 10.1016/j.arth.2007.03.025.

  24. Ong KL, Lau E, Suggs J, Kurtz SM, Manley MT. Risk of subsequent revision after primary and revision total joint arthroplasty. Clin Orthop Relat Res. 2010; 468(11): 3070-76. doi: 10.1007/s11999-010-1399-0.

  25. Orthopride Belgian Hip and Knee Arthroplasty Registry Annual Report. 2015.

  26. Meijer MF, Reininga IHF, Boerboom AL, Stevens M, Bulstra SK. Poorer survival after a primary implant during revision total knee arthroplasty. Int Orthop. 2013; 37(3): 415-9. doi: 10.1007/s00264-012-1739-7.

  27. Hanssen AD, Rand JA. Evaluation and treatment of infection at the site of a total hip or knee arthroplasty. Instr Course Lect. 1999; 48: 111-22. Available in: http://www.ncbi.nlm.nih.gov/pubmed/10098033

  28. Garvin KL, Cordero GX. Infected total knee arthroplasty: diagnosis and treatment. Instr Course Lect. 2008; 57: 305-15. Available in: http://www.ncbi.nlm.nih.gov/pubmed/18399594

  29. Ghomrawi HMK, Kane RL, Eberly LE, Bershadsky B, Saleh KJ, North American Knee Arthroplasty Revision (NAKAR) Study Group. Patterns of functional improvement after revision knee arthroplasty. J Bone Joint Surg Am. 2009; 91(12): 2838-45. doi: 10.2106/JBJS.H.00782.

  30. Baier C, Lüring C, Schaumburger J, et al. Assessing patient-oriented results after revision total knee arthroplasty. J Orthop Sci. 2013; 18(6): 955-61. doi: 10.1007/s00776-013-0467-1.

  31. Richards CJ, Garbuz DS, Pugh L, Masri BA. Revision total knee arthroplasty. J Arthroplasty. 2011; 26(8): 1299-304. doi: 10.1016/j.arth.2010.12.003.

  32. Greidanus NV, Peterson RC, Masri BA, Garbuz DS. Quality of life outcomes in revision versus primary total knee arthroplasty. J Arthroplasty. 2011; 26(4): 615-20. doi: 10.1016/j.arth.2010.04.026.

  33. Goldstein WM, Gordon AC, Swope S, Branson J. Rotating platform revision total knee arthroplasty. J Knee Surg. 2012; 25(1): 45-50. Available in: http://www.ncbi.nlm.nih.gov/pubmed/22624247

  34. Leta TH, Lygre SHL, Skredderstuen A, et al. Outcomes of unicompartmental knee arthroplasty after aseptic revision to total knee arthroplasty. J Bone Jt Surg. 2016; 98(6): 431-40. doi: 10.2106/JBJS.O.00499.



EVIDENCE LEVEL

IV




2020     |     www.medigraphic.com