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[Complications following total knee replacement].

T Sasaki, S Matsuno, T Yagi

    Nihon Seikeigeka Gakkai Zasshi
    |January 1, 1986
    PubMed
    Summary
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    Total knee replacement complications, including loosening, infection, and fracture, occurred in 218 cases. Rheumatic patients and those with severely deteriorated joints faced higher complication rates, impacting functional outcomes.

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Total knee replacement (TKR) is a common procedure for end-stage knee arthritis.
    • Understanding complication rates is crucial for improving patient outcomes and surgical techniques.

    Purpose of the Study:

    • To investigate the incidence and types of complications following total knee replacement.
    • To identify patient and surgical factors associated with increased complication risk.

    Main Methods:

    • A retrospective study of 218 total knee replacement cases.
    • Follow-up duration ranged from 24 to 101 months (mean 44.3 months).
    • Complications were categorized and analyzed based on patient groups and prosthesis types.

    Main Results:

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  • The most frequent serious complications included significant loosening (8 knees), deep infection (5 knees), and fracture (7 knees).
  • Higher complication rates were observed in rheumatic patients compared to osteoarthritic patients.
  • Complication incidence was significantly higher in severely deteriorated joints and with certain prosthesis combinations (Anametric, Total Condylar, GUEPAR) versus Kinematic Knee Prosthesis.
  • Conclusions:

    • Total knee replacement is associated with various complications, with loosening, infection, and fracture being most severe.
    • Patient factors like rheumatic disease and joint deterioration severity, along with specific prosthesis choices, influence complication risk.
    • Despite reoperations, functional prognosis after TKR complications remains suboptimal in many cases.