Related Experiment Video
Updated: Jun 23, 2026
05:30
Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
Published on: February 14, 2025
Does concomitant low back pain affect revision total knee arthroplasty outcomes?
Wendy M Novicoff1, David Rion, William M Mihalko
1Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA 22903, USA. wmn2v@virginia.edu
Clinical Orthopaedics and Related Research
|May 13, 2009
Summary
Revision total knee arthroplasty (rev-TKA) patients with low back pain experience slower recovery. This study found that baseline back pain negatively impacts outcomes 24 months after rev-TKA surgery.
Area of Science:
- Orthopedics
- Reconstructive Surgery
- Pain Management
Background:
- Revision total knee arthroplasty (rev-TKA) is increasing annually.
- These complex procedures present significant healthcare challenges.
- Concomitant low back pain is common and may affect functional outcomes.
Purpose of the Study:
- To investigate if baseline low back pain influences the amount and rate of improvement in standardized outcome measures after rev-TKA.
Main Methods:
- Retrospective review of 308 patients from prospectively collected multicenter data.
- 221 patients (71.8%) had a minimum 24-month follow-up.
- Comparison of outcomes between patients with and without low back pain at baseline.
Main Results:
- Patients with low back pain at baseline reported worse scores on most outcome instruments.
- This difference persisted at baseline, 12 months, and 24 months post-surgery.
- Low back pain was associated with poorer functional outcomes after rev-TKA.
Conclusions:
- Concomitant low back pain significantly affects outcomes in patients undergoing revision total knee arthroplasty.
- Orthopaedic surgeons should discuss the potential for slower or less complete recovery with patients experiencing back pain.