Minimum Two-year Results of Revision Total Knee Arthroplasty Following Infectious or Non-infectious Causes
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: To compare clinical outcome of revision total knee arthroplasty (TKA) between the infected and non-infected groups. Materials and Methods: This study compared the clinical and radiographic results of 21 infected and 15 non-infected revision TKAs at a minimum 2- years follow-up. Clinical evaluations were assessed using the range of motion (ROM), Hospital for Special Surgery (HSS) score, Knee Society Knee Score (KSKS), Knee Society Function Score (KSFS), and Western Ontario and McMaster Universities (WOMAC) score. Radiologic evaluations were assessed using the radiographic results of the American Knee Society and joint line change. Results: Patients operated for non-infectious causes had significantly better postoperative ROM than the infected group (infected group, 101.7^o; non-infected group, 117.8^o). The infected group achieved significantly poor HSS (79.2 vs. 85.5), KSKS (75.5 vs. 86.6), KSFS (76.9 vs. 85.5), WOMAC (30.3 vs. 21.2) scores than the non-infected group. Postoperative joint line elevation was lower in the infected versus non-infected group (0.5 mm vs. 2.1 mm), but there was no significant difference. Conclusions: Revision TKA is an effective treatment that can provide successful results in the infected as well as non-infected patients. The overall results of non-infected revision were more satisfactory than infected revision.
Abstract
Purpose: To compare clinical outcome of revision total knee arthroplasty (TKA) between the infected and non-infected groups. Materials and Methods: This study compared the clinical and radiographic results of 21 infected and 15 non-infected revision TKAs at a minimum 2- years follow-up. Clinical evaluations were assessed using the range of motion (ROM), Hospital for Special Surgery (HSS) score, Knee Society Knee Score (KSKS), Knee Society Function Score (KSFS), and Western Ontario and McMaster Universities (WOMAC) score. Radiologic evaluations were assessed using the radiographic results of the American Knee Society and joint line change. Results: Patients operated for non-infectious causes had significantly better postoperative ROM than the infected group (infected group, 101.7^o; non-infected group, 117.8^o). The infected group achieved significantly poor HSS (79.2 vs. 85.5), KSKS (75.5 vs. 86.6), KSFS (76.9 vs. 85.5), WOMAC (30.3 vs. 21.2) scores than the non-infected group. Postoperative joint line elevation was lower in the infected versus non-infected group (0.5 mm vs. 2.1 mm), but there was no significant difference. Conclusions: Revision TKA is an effective treatment that can provide successful results in the infected as well as non-infected patients. The overall results of non-infected revision were more satisfactory than infected revision.
참고문헌 (30)
- 배대경, "슬관절 재치환술의 결과", 대한정형외과학회지, 38(7), pp.6~694 (2003), 대한정형외과학회
- Cameron HU, "Revision of total knee replacement", Can J Surg, 24, pp.418~420 (1981)
- Kurtz S, "Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002", J Bone Joint Surg Am, 87, pp.1487~1497 (2005)
- Goldberg VM, "The results of revision total knee arthroplasty", Clin Orthop Relat Res, (226), pp.86~92 (1988)
- Jacofsky DJ, "Revision total knee arthroplasty: what the practicing orthopaedic surgeon needs to know", J Bone Joint Surg Am, 92, pp.1282~1292 (2010)
- Mulhall KJ, "Radiographic prediction of intraoperative bone loss in knee arthroplasty revision", Clin Orthop Relat Res, 446, pp.51~58 (2006)
- Ritter MA, "Revision total knee arthroplasty. A survival analysis", J Arthroplasty, 6, pp.351~356 (1991)
- Insall JN, "Revision of total knee arthroplasty", Clin Orthop Relat Res, (170), pp.123~130 (1982)
- Barrack RL, "Early failure of modern cemented stems", J Arthroplasty, 15, pp.1036~1050 (2000)
- Insall JN, "Revision of total knee replacement", Instr Course Lect, 35, pp.290~296 (1986)
- Windsor RE, "Two-stage reimplantation for the salvage of total knee arthroplasty complicated by infection. Further follow-up and refinement of indications", J Bone Joint Surg Am, 72, pp.272~278 (1990)
- Barrack RL, "Patient satisfaction and outcome after septic versus aseptic revision total knee arthroplasty", J Arthroplasty, 15, pp.990~993 (2000)
- Hwang SC, "Clinical outcomes of infective and non-infective groups in revision total knee arthroplasty", J Korean Knee Soc, 17, pp.91~98 (2005)
- Bose WJ, "Long-term outcome of 42 knees with chronic infection after total knee arthroplasty", Clin Orthop Relat Res, (319), pp.285~296 (1995)
- Park SJ, "Comparison of static and mobile antibiotic-impregnated cement spacers for the treatment of infected total knee arthroplasty", Int Orthop, 34, pp.1181~1186 (2010)
- Patil N, "Aseptic versus septic revision total knee arthroplasty: patient satisfaction, outcome and quality of life improvement", Knee, 17, pp.200~203 (2010)
- Hanssen AD, "Treatment of the infected total knee arthroplasty with insertion of another prosthesis. The effect of antibiotic-impregnated bone cement", Clin Orthop Relat Res, (309), pp.44~55 (1994)
- Ewald FC, "The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system", Clin Orthop Relat Res, (248), pp.9~12 (1989)
- Goldstein WM, "Temporary articulating methylmethacrylate antibiotic spacer (TAMMAS). A new method of intraoperative manufacturing of a custom articulating spacer", J Bone Joint Surg Am, 83(2), pp.92~97 (2001)
- Hofmann AA, "Treatment of infected total knee arthroplasty using an articulating spacer: 2- to 12-year experience", Clin Orthop Relat Res, (430), pp.125~131 (2005)
- Wang CJ, "Clinical outcome and patient satisfaction in aseptic and septic revision total knee arthroplasty", Knee, 11, pp.45~49 (2004)
- Bargren JH, "Alignment in total knee arthroplasty. Correlated biomechanical and clinical observations", Clin Orthop Relat Res, (173), pp.178~183 (1983)
- Stulberg SD, "Bone loss in revision total knee arthroplasty: graft options and adjuncts", J Arthroplasty, 18, pp.48~50 (2003)
- Gofton WT, "Revision total knee arthroplasty: fixation with modular stems", Clin Orthop Relat Res, (404), pp.158~168 (2002)
- Werle JR, "Revision total knee arthroplasty using large distal femoral augments for severe metaphyseal bone deficiency: a preliminary study", Orthopedics, 25, pp.325~327 (2002)
- Ducheyne P, "Failure of total knee arthroplasty due to loosening and deformation of the tibial component", J Bone Joint Surg Am, 60, pp.384~391 (1978)
- Ewald FC, "Kinematic total knee replacement", J Bone Joint Surg Am, 66, pp.1032~1040 (1984)
- Reckling FW, "A longitudinal study of the radiolucent line at the bone-cement interface following total joint-replacement procedures", J Bone Joint Surg Am, 59, pp.355~358 (1977)
- Figgie HE 3rd, "The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis", J Bone Joint Surg Am, 68, pp.1035~1040 (1986)
- Ryu J, "Factors influencing the postoperative range of motion in total knee arthroplasty", Bull Hosp Jt Dis, 53, pp.35~40 (1993)