![](/images/graphics-bg.png)
Two-Stage Revision TKA Is Associated with High Complication and Failure Rates
Joint Authors
Erickson, Jill
Peters, Christopher L.
Anderson, Lucas A.
Grijalva, Ray
Anderson, Mike B.
Pelt, Christopher E.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Despite two-stage revision remaining the gold standard in treating periprosthetic infection of total knee arthroplasty (TKA), there remains uncertainty regarding the actual success rate and the risk factors for failure.
We retrospectively reviewed 58 knees with mean follow-up of 38 months who underwent two-stage revision TKAs from 1998 to 2012 by a single surgeon.
Failure was defined as persistent infection or reoperation after two-stage revision TKA surgery.
Failure occurred in 36%.
The overall mortality was 22%.
The mean time to reinfection was 26 months.
Polymicrobial infection was associated with a higher risk of failure (RR 3.31, P < 0.001 ).
Knees requiring soft tissue coverage were also at a greater risk of failure (RR 2.67, P = 0.001 ), as were knees that underwent four or more additional surgeries after the primary TKA and prior to stage-one explantation (RR 2.25, P = 0.020 ).
Thus, opportunities exist for improvement in management of infected TKA.
American Psychological Association (APA)
Pelt, Christopher E.& Grijalva, Ray& Anderson, Lucas A.& Anderson, Mike B.& Erickson, Jill& Peters, Christopher L.. 2014. Two-Stage Revision TKA Is Associated with High Complication and Failure Rates. Advances in Orthopedics،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1034346
Modern Language Association (MLA)
Pelt, Christopher E.…[et al.]. Two-Stage Revision TKA Is Associated with High Complication and Failure Rates. Advances in Orthopedics No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1034346
American Medical Association (AMA)
Pelt, Christopher E.& Grijalva, Ray& Anderson, Lucas A.& Anderson, Mike B.& Erickson, Jill& Peters, Christopher L.. Two-Stage Revision TKA Is Associated with High Complication and Failure Rates. Advances in Orthopedics. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1034346
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1034346