ArticleActa orthopaedica2015
Failure of aseptic revision total knee arthroplasties.
Article in Acta orthopaedica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis of hybrid vs. cemented stems - which method is more optimal for revision total knee arthroplasty?BMC musculoskeletal disorders · 2024Pooled it
- Socioeconomic burden of septic re-revision surgeries for periprosthetic joint infections in Europe - a comprehensive analysis of re-revision costs.Journal of bone and joint infection · 2026Article
- Risk analyses for perioperative morbidities after aseptic knee revision arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Comparison of Novel 3D-printed Stepped Porous Metal Cones and Metaphyseal Sleeves for Reconstruction of Severe Knee Bone Defects: Short-term Clinical Outcomes.Orthopaedic surgery · 2024Article
- Aseptic midterm survival rates between different cemented tibial stem designs in hinged total knee arthroplasty: a 6-year evaluation from the German Arthroplasty Registry.Archives of orthopaedic and trauma surgery · 2024Article
- Effect of revision sacroiliac joint fusion on unresolved pain and disability: a retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Does medullary diameter to stem width ratio and stem length affect outcomes of revision total knee arthroplasties? A case series.Joint diseases and related surgery · 2024Article
- Cemented versus Cementless Stem Fixation in Revision Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.Antibiotics (Basel, Switzerland) · 2023Review
- Long-term outcomes of the NexgenEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- The rate and management of prosthetic joint infection in the low-income setting: a cross-sectional study.Annals of medicine and surgery (2012) · 2023Article
- Does stem profile have an impact on the failure patterns in revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Impact of stem profile on the revisability and the need for osteotomy in well-fixed cemented revision total knee arthroplasty implants.Archives of orthopaedic and trauma surgery · 2023Article
- Failure Analysis in Multiple TKA Revisions-Periprosthetic Infections Remain Surgeons' Nemesis.Journal of clinical medicine · 2022Article
- Outcomes in revision total knee arthroplasty (Review).Experimental and therapeutic medicine · 2022Review
- Comparing Revision Total Knee Arthroplasty Stems at a High-Volume Revision Center.Frontiers in surgery · 2022Article
- Reasons for revision are associated with rerevised total knee arthroplasties: an analysis of 8,978 index revisions in the Dutch Arthroplasty Register.Acta orthopaedica · 2021Article
- Influence of extension stem length and diameter on clinical and radiographic outcomes of revision total knee arthroplasty.BMC musculoskeletal disorders · 2020Article
- Analysis of Total Knee Arthroplasty revision causes.BMC musculoskeletal disorders · 2018Article
- Infection after Constrained Condylar Knee Arthroplasty: Incidence and microbiological findings in 100 consecutive complex primary and revision total knee arthroplasties.Journal of bone and joint infection · 2018Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIn Norway, the proportion of revision knee arthroplasties increased from 6.9% in 1994 to 8.5% in 2011. However, there is limited information on the epidemiology and causes of subsequent failure of revision knee arthroplasty. We therefore studied survival rate and determined the modes of failure of aseptic revision total knee arthroplasties.
methodThis study was based on 1,016 aseptic revision total knee arthroplasties reported to the Norwegian Arthroplasty Register between 1994 and 2011. Revisions done for infections were not included. Kaplan-Meier and Cox regression analyses were used to assess the survival rate and the relative risk of re-revision with all causes of re-revision as endpoint.
results145 knees failed after revision total knee arthroplasty. Deep infection was the most frequent cause of re-revision (28%), followed by instability (26%), loose tibial component (17%), and pain (10%). The cumulative survival rate for revision total knee arthroplasties was 85% at 5 years, 78% at 10 years, and 71% at 15 years. Revision total knee arthroplasties with exchange of the femoral or tibial component exclusively had a higher risk of re-revision (RR = 1.7) than those with exchange of the whole prosthesis. The risk of re-revision was higher for men (RR = 2.0) and for patients aged less than 60 years (RR = 1.6).
interpretationIn terms of implant survival, revision of the whole implant was better than revision of 1 component only. Young age and male sex were risk factors for re-revision. Deep infection was the most frequent cause of failure of revision of aseptic total knee arthroplasties.
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