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Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients

Putman, Sophie and Argenson, Jean-Noël and Bonnevialle, Paul and Ehlinger, Matthieu and Vie, Pascal and Leclercq, Sylvain and Bizot, Pascal and Lustig, Sébastien and Parratte, Sébastien and Ramdane, Nassima and Colmar, Michel Ten-year survival and complications of total knee arthroplasty for osteoarthritis secondary to trauma or surgery: A French multicentre study of 263 patients. (2018) Orthopaedics & Traumatology: Surgery & Research, 104 (2). 161-164. ISSN 1877-0568

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Official URL: https://doi.org/10.1016/j.otsr.2017.11.019


BACKGROUND: Previous surgical procedures raise technical challenges in performing total knee arthroplasty (TKA) and may affect TKA outcomes. Survival rates of TKA done after trauma or surgery to the knee have not been accurately determined in large populations. The objectives of this retrospective study in 263 patients with TKA after knee trauma or surgery and a follow-up of 10 years were to assess survival, functional outcomes, and the nature and frequency of complications. HYPOTHESIS: Knee trauma or surgery before TKA increases the risk of complications and decreases implant survival. MATERIAL AND METHODS: Two hundred and sixty-three patients (122 [47%] females and 141 [53%] males) underwent TKA between 2005 and 2009 at nine centres in France. Mean age at surgery was 61 years. The patients had knee osteoarthritis secondary to a fracture (n=66), osteotomy (n=131), or ligament injury (n=66). Mean time from trauma or surgery to TKA was 145 months (range, 72-219 months). RESULTS: Major complications were infection (n=12, 4.5%), skin problems (n=8, 3%), and stiffness (n=8, 3%). Ten-year survival to implant exchange for any reason was 89%±2.8%. Flexion range increased by 2.5°±17° (p=0.02) to a mean of 110° (range, 30° to 140°); extension range increased by 4°±7° (p<0.001) to a mean of -1.19 (range, -20° to 0°). Of the 263 patients, 157 (60%) reported little or no pain at last follow-up. Mean postoperative hip-knee-ankle angle was 179°±3.2° (range, 171°-188°). CONCLUSION: TKA performed after knee injury or surgery carries a risk of specific complications (infection, skin problems, and stiffness) and may have a lower survival rate compared to primary TKA.

Item Type:Article
HAL Id:hal-02121777
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Hôpitaux universitaires de Strasbourg - HUS (FRANCE)
Other partners > Assistance Publique - Hôpitaux de Marseille - AP-HM (FRANCE)
Other partners > Centre Hospitalier Régional Universitaire de Lille - CHRU (FRANCE)
Other partners > Hospices Civils de Lyon - HCL (FRANCE)
Other partners > Clinique du Cèdre - Bois Guillaume (France)
Other partners > Hôpital Privé des Côtes d'Armor (FRANCE)
Other partners > Assistance publique - Hôpitaux de Paris - AP-HP (FRANCE)
Other partners > Hôpital Privé Saint-Martin - Caen (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
Deposited On:28 Mar 2019 08:52

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