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Complications in primary total knee arthroplasty.

M H Huo1, T P Sculco

  • 1Georgetown University Hospital, Washington, DC.

Orthopaedic Review
|September 1, 1990
PubMed
Summary

Total knee arthroplasty (TKA) is common, but complications like infection and nerve issues can cause failure. This review covers key TKA complications and their management.

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Area of Science:

  • Orthopaedic Surgery
  • Arthroplasty
  • Surgical Complications

Background:

  • Total knee arthroplasty (TKA) is a highly successful orthopaedic procedure.
  • Despite high satisfaction rates, complications can arise, impacting outcomes.
  • Understanding these complications is crucial for successful reconstruction.

Purpose of the Study:

  • To review common perioperative and postoperative complications following primary total knee arthroplasty.
  • To provide a summary of issues that may lead to TKA failure.
  • To highlight key areas for clinical attention in TKA patients.

Main Methods:

  • Literature review of perioperative and postoperative complications associated with primary total knee arthroplasty.
  • Synthesis of information on wound healing, infection, fractures, thromboembolic disease, soft tissue balance, nerve palsy, and patellofemoral issues.
  • Categorization of complications for comprehensive overview.

Main Results:

  • Complications include impaired wound healing, surgical site infection, and supracondylar fractures.
  • Thromboembolic disease, soft tissue imbalance, peroneal nerve palsy, and patellofemoral problems are also significant concerns.
  • These issues can collectively lead to total knee arthroplasty failure if not managed.

Conclusions:

  • Effective management of TKA complications is essential for optimal patient outcomes.
  • Addressing wound healing, infection, and biomechanical issues improves TKA success rates.
  • Awareness of potential complications guides preventative strategies and treatment in knee replacement surgery.

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