ArticleJournal of orthopaedics
Reasons for failure in primary total knee arthroplasty - An analysis of prospectively collected registry data.
Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic-assisted mechanically aligned total knee arthroplasty does not lead to better clinical and radiological outcomes when compared to conventional TKA: a systematic review and meta-analysis of randomized controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Sensor-guided gap balance versus manual gap balance in primary total knee arthroplasty: a meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Surgical complications in total knee arthroplasty performed by trainee surgeons under scrubbed attending supervision.International orthopaedics · 2026Article
- Short-term clinical outcomes of robotic-assisted total knee arthroplasty at 12-month follow-up: a prospective, multicenter, concomitant comparison to conventional total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- Surgical technique of robotic arm-assisted total knee arthroplasty via the lateral parapatellar approach for valgus knee deformity.Arthroplasty (London, England) · 2026Article
- SPECT/CT peak tracer uptake is a strong predictor of aseptic loosening in painful total knee arthroplasty.European journal of nuclear medicine and molecular imaging · 2026Article
- Single Peg Patellar Component Fracture in Total Knee Replacement: A Case Report.Journal of orthopaedic case reports · 2026Article
- Robotic-Assisted Total Knee Arthroplasty With Metal Block Augmentation for Severe Varus Knee With Tibial Defect.Arthroplasty today · 2025Article
- Coronal Alignment in Revision Total Knee Arthroplasty: A Comparison of Cemented Vs Press-Fit Stems for Restoring Mechanical Axis.Arthroplasty today · 2025Article
- Efficacy of isolated femoral revision in cruciate-retaining total knee arthroplasty instability: A comparative study.Journal of experimental orthopaedics · 2025Article
- Article
- Are Changes in Physical Activity, Pain, and Quality of Life in Patients with Knee Osteoarthritis After Exercise Therapy and Education Beyond Normal Fluctuations? A Comparative Study.Journal of clinical medicine · 2025Article
- Impact of systemic lupus erythematosus (SLE) on outcomes following aseptic and septic revision total knee arthroplasty: an analysis of the 2005-2018 nationwide inpatient sample.Clinical rheumatology · 2024Article
- Causes of Revision of Total Knee Arthroplasties in a Tertiary Hospital in Brazil.Revista brasileira de ortopedia · 2024Article
- Tibiofemoral Slip Velocity in Total Knee Arthroplasty is Design-Invariant but Activity-Dependent.Annals of biomedical engineering · 2024Article
- Genicular Artery Embolization: Embolic Material and Imaging Review.Seminars in interventional radiology · 2024Review
- Multicenter, prospective cohort study: immediate postoperative gains in active range of motion following robotic-assisted total knee replacement compared to a propensity-matched control using manual instrumentation.Arthroplasty (London, England) · 2023Article
- Mass spectrometry-based proteomic profiling of sonicate fluid differentiates Staphylococcus aureus periprosthetic joint infection from non-infectious failure: A pilot study.Proteomics. Clinical applications · 2023Article
- Profiling the Immune Response to Periprosthetic Joint Infection and Non-Infectious Arthroplasty Failure.Antibiotics (Basel, Switzerland) · 2023Review
- Similar patient-reported outcomes for hybrid and cemented stem fixation for aseptic tibial revision total knee arthroplasty: a comparison of sequential prospective cohorts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to determine the causes leading to a first revision of primary total knee arthroplasty (TKA) in a specialized knee centre and compare the results with previously published data.
methodsProspectively collected data of a consecutive number of 195 patients after primary TKA and who underwent first revision surgery after completing the diagnostic algorithm for persistent knee pain were included. Data was prospectively collected from a specialized knee centre in which the patients presented between 2015 and 2020 and retrospectively analysed. Indications for revision surgery were categorized using all available information from patients' records. Patients were divided into early (up to two years) and late revision (more than two years).
resultsOverall mean time from index to revision surgery was 3.6 years. 49% of knee revisions occurred in the first two years, 51% after two years. 86% of the patients were referred to the knee centre from other surgeons. The most frequent reason for revision was instability, followed by patellofemoral problems, extensor mechanism insufficiency and malalignment. The most frequently performed revision was complete removal and re-implantation of a semi constrained implant design (52.5%) followed by revision using a full constrained implant design (16%). Secondary patella-resurfacing as part of complete revision was carried out in 71.5% of the cases. The majority of the patients showed concurrent reasons for TKA failure with significant correlations amongst another. Furthermore, correlations were identified between indications for revision surgery and revision implant designs.
conclusionIn a specialized knee centre the most common indications for the first TKA revision were instability and patellofemoral and/or extensor mechanism insufficiency followed by malalignment. In most patients there was not only one failure mode, but a combination of many. It is important to establish a standardized diagnostic algorithm to facilitate comprehensive and efficient diagnostics and the optimal treatment.
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