| Online-Ressource |
Verfasst von: | Fritsch-Seerhausen, Lennart Ulrich Burkhard von [VerfasserIn]  |
| Sabah, Shiraz A. [VerfasserIn]  |
| Xu, Joshua [VerfasserIn]  |
| Price, Andrew J. [VerfasserIn]  |
| Merle, Christian [VerfasserIn]  |
| Alvand, Abtin [VerfasserIn]  |
Titel: | Re-revision knee arthroplasty in a tertiary center |
Titelzusatz: | infection and multiple previous surgeries were associated with poor early clinical and functional outcomes |
Verf.angabe: | Lennart von Fritsch, MD, Shiraz A. Sabah, FRCS (Orth), Joshua Xu, MD, Andrew J. Price, FRCS (Orth), DPhil, Christian Merle, Dr MSc, Abtin Alvand, FRCS (Orth), DPhil |
E-Jahr: | 2023 |
Jahr: | 7 June 2023 |
Umfang: | 7 S. |
Fussnoten: | Online verfügbar 27 January 2023, Version des Artikels 7 June 2023 ; Gesehen am 21.09.2023 |
Titel Quelle: | Enthalten in: The journal of arthroplasty |
Ort Quelle: | Orlando, Fla. : Churchill Livingstone, 1986 |
Jahr Quelle: | 2023 |
Band/Heft Quelle: | 38(2023), 7 vom: Juli, Seite 1313-1319 |
ISSN Quelle: | 1532-8406 |
Abstract: | Background - The incidence of re-revision knee arthroplasty (re-revision KA) is increasing and associated with high complication and failure rates. The aim of this study was to investigate re-revision rates, complications, and patient-reported outcomes following re-revision KA and factors associated with poor outcome. - Methods - This was a retrospective cohort study of 206 patients (250 knees) undergoing re-revision KA at a major revision center from 2015 to 2018. The mean follow-up was 26 months (range, 0 to 61) and mean age at re-revision KA was 69 years (range, 31 to 91 years). The main indications for surgery were prosthetic joint infection (PJI) (n = 171/250, 68.4%) and aseptic loosening (n = 25/250, 10.0%). We compared re-revision rates, joint function, and complications for aseptic and infective indications. Logistic regressions were performed to identify risk factors for further reoperation. - Results - The estimated re-revision rates at 2 years were 28.7% (95% confidence interval [CI]: 22.7-35.9) and at 4 years were 42.0% (95% CI: 32.8-52.6). Mean Oxford Knee Score was 26 points (range, 1 to 48). Mean EuroQoL-5D-5L utility was 0.539 (range, -0.511 to 1.000). Multivariable analyses demonstrated that PJI (Odds Ratio [OR] 2.39, 95% CI 1.06-5.40, P = .036), greater number of previous surgeries (OR 1.18, 95% CI 1.04-1.33, P = .008), and higher Elixhauser score (OR 1.06, 95% CI 1.01-1.13, P = .045) were independently associated to further surgery. - Conclusion - Re-revision KA carried a high risk of early failure. Multiple revised joints and patients with more comorbidities had worse function. Patients undergoing re-revision KA for PJI should be counseled to expect higher failure rates and complications than patients who have aseptic indications. |
DOI: | doi:10.1016/j.arth.2023.01.030 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.1016/j.arth.2023.01.030 |
| Volltext: https://www.sciencedirect.com/science/article/pii/S0883540323000505 |
| DOI: https://doi.org/10.1016/j.arth.2023.01.030 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | knee arthroplasty |
| patient reported outcome (PROM) |
| prosthetic joint infection |
| revision |
| total knee replacement |
K10plus-PPN: | 1860126014 |
Verknüpfungen: | → Zeitschrift |
Re-revision knee arthroplasty in a tertiary center / Fritsch-Seerhausen, Lennart Ulrich Burkhard von [VerfasserIn]; 7 June 2023 (Online-Ressource)