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Complications following total knee replacement

S P Kaushal, J O Galante, R McKenna

    Clinical Orthopaedics and Related Research
    |November 1, 1976
    PubMed
    Summary
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    Total knee arthroplasty shows high complication rates, including phlebothrombosis (46%) and infections (10.8%). Further clinical experience is needed before widespread adoption of this total knee replacement procedure.

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Total knee arthroplasty (TKA) is a common procedure for end-stage knee arthritis.
    • Long-term complication data following TKA are crucial for surgical decision-making and patient counseling.

    Purpose of the Study:

    • To evaluate the complication rates and functional outcomes of TKA.
    • To assess the efficacy of 125I fibrinogen scans for thrombophlebitis detection and aspirin prophylaxis.

    Main Methods:

    • A 42-month follow-up study of 30 patients who underwent TKA.
    • Complications including phlebothrombosis, pulmonary embolism, loosening, infections, and peroneal palsy were recorded.
    • Functional outcomes were graded as excellent, good, fair, or poor.

    Main Results:

    Related Experiment Videos

    • High complication rates observed: phlebothrombosis (46%), pulmonary embolism (11%), asymptomatic loosening (11.4%), symptomatic loosening (4.8%), superficial infections (5.4%), deep infections (5.4%), and peroneal palsy (4.3%).
    • Functional outcomes: 58.6% excellent, 28.5% good, 5.4% fair, and 7.1% poor.
    • 125I fibrinogen scan and aspirin prophylaxis were explored for thrombophlebitis management.

    Conclusions:

    • Total knee arthroplasty is associated with significant complication risks.
    • Caution is advised due to limited encouraging results and the need for more extensive clinical experience.
    • Further research into early complication detection and prophylactic measures is warranted.