Effect of gender and preoperative diagnosis on results of revision total knee arthroplasty.

Clinical Orthopaedics and Related Research
Stephanie Y Pun, Michael D Ries

Abstract

Recent studies question an effect of gender on outcome of primary TKA. We questioned whether the results of revision TKA were affected by gender. We separated 67 revision TKAs by gender and preoperative diagnosis into four groups (arthrofibrosis, infection, instability, and wear and loosening). Each revision TKA was individually matched by age and gender to two primary TKAs. Postoperative Knee Society pain and function scores after revision TKA were lower than for primary TKA for both females and males. However, postoperative Knee Society pain and function scores were similar in males and females. Postoperative pain and function scores were lower for all revision groups compared with primary TKA, except for pain and function scores after revision for instability. Postoperative pain and function scores were higher for instability and wear or loosening than for arthrofibrosis. Our data suggest the results of revision TKA are affected by preoperative diagnosis but not gender. Level III, retrospective matched cohort study. See Guidelines for Authors for a complete description of levels of evidence.

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Citations

Nov 3, 2012·Archives of Orthopaedic and Trauma Surgery·Ralf BiegerHeiko Reichel
Oct 8, 2013·Orthopedics·Alessandro BistolfiGiuseppe Massazza
Mar 14, 2017·The Journal of Arthroplasty·Victor A CheuyJennifer E Stevens-Lapsley
Nov 20, 2013·Arthritis Care & Research·Jasvinder A Singh, David G Lewallen
Nov 8, 2011·Clinical Orthopaedics and Related Research·Ajay MalviyaDavid J Deehan
Jan 10, 2014·International Orthopaedics·Rafael LuqueLuis López-Duran
Jul 30, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Francois HardemanJan Victor
Dec 25, 2013·Journal of Orthopaedic Surgery·Ashok RajgopalVivek Dahiya
Apr 2, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Richard J HolleymanDavid J Deehan
Jan 29, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jan F M VerbeekPetra J C Heesterbeek
Apr 2, 2013·Clinical Orthopaedics and Related Research·Robin W T M van KempenAte B Wymenga
Jan 19, 2021·Journal of Orthopaedics·Dominic T Mathis, Michael T Hirschmann
Oct 5, 2010·The Journal of Arthroplasty·Jasvinder A SinghDavid G Lewallen

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