Acute Arthrotomy Dehiscence After Primary Total Knee Arthroplasty: Depth of Injury Impacts Outcome.

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Abstract

[Indexed for MEDLINE] 2. Arch Orthop Trauma Surg. 2020 Jan;140(1):109-119. doi: 10.1007/s00402-019-03290-9. Epub 2019 Oct 29. Early complications and causes of revision after rotating-hinge TKA. Rouquette L(1), Batailler C(2), Muller B(1), Neyret P(1), Servien E(1), Lustig S(1). Author information: (1)Orthopedic Surgery Department, Hôpital de la Croix-Rousse, Université Lyon 1, 103 Grande rue de la Croix-Rousse, 69004, Lyon, France. (2)Orthopedic Surgery Department, Hôpital de la Croix-Rousse, Université Lyon 1, 103 Grande rue de la Croix-Rousse, 69004, Lyon, France. cecile-batailler@hotmail.fr. INTRODUCTION: The use of rotating-hinge total knee arthroplasties (TKA), despite several developments in prosthetic design, remains controversial. Results as well as indications of these devices are still discussed in primary intention and for young patients. The aim was to analyze early complications and survival rate of rotating-hinge TKA in primary intention and for revisions. METHODS: A retrospective study included all the patients operated for primary or revision TKA procedure using a rotating-hinge TKA between 2015 and 2018. Clinical and radiological data were collected before surgery and then at a minimum follow-up of 1 year. The primary endpoint was the aseptic revision-free survival rate. Secondary endpoints were the overall survival rate, IKS scores, range of motion and patellar complications. RESULTS: Forty patients were included at an average follow-up of 18 months. Primary implantation was performed for 12 patients (30%), and revision for 28 cases (70%). At a mean follow-up of 18 months, only one implant was removed for a septic cause. The cumulative survival rate at 24 months was 95%. At final review, eight knees (20%) had been revised, five (12.5%) due to infection, two (5%) because of extensor mechanism failure, two (5%) for global stiffness. The objective and subjective IKS were significantly higher postoperatively in both primary and revision groups (p