Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis

The Journal of Arthroplasty
Nicholas M BrownCraig J Della Valle

Abstract

A total of 2235 primary total knee arthroplasties (TKAs) and 605 unicompartmental knee arthroplasties performed at 3 institutions over 5 years were reviewed to compare the incidence of postoperative complications between these groups. The overall risk of complications for patients undergoing TKA was 11.0%, compared with 4.3% for patients undergoing unicompartmental knee arthroplasty (P < .0001). Total knee arthroplasty was associated with increased rates of manipulation (odds ratio [OR], 13.0; P < .0001), transfusion (OR, 8.5; P = .036), intensive care unit admission (OR, 7.4; P = .049), discharge to a rehabilitation facility (OR, 5.2; P < .0001) and had longer hospital stays (mean, 3.3 vs 2.0 days; P < .0001). There was a trend toward an increased risk of deep infection (0.8% vs 0.2%, P = .13), readmission (4.2% vs 2.7%, P = .0795), thromboembolic events (1.0% vs 0.64%, P = .398), and any reoperation (1.4% vs 0.6%; P = .064). The increased risk of perioperative complications after TKA should be considered when counseling patients if they are an appropriate candidate for either procedure.

Associated Clinical Trials

References

Sep 1, 1992·The Journal of Arthroplasty·E RinonapoliP Aglietti
Aug 22, 2002·The Journal of Bone and Joint Surgery. British Volume·C E AckroydC C Joslin
May 4, 2005·The Journal of Bone and Joint Surgery. American Volume·Richard A BergerJorge O Galante
Nov 29, 2005·The Journal of Arthroplasty·Hon-Ming MaChun-Hsiung Huang
Dec 21, 2005·The Journal of Bone and Joint Surgery. British Volume·H PanditD W Murray
Aug 13, 2008·Archives of Orthopaedic and Trauma Surgery·N ConfalonieriE De Momi
Dec 19, 2008·The Journal of Bone and Joint Surgery. British Volume·J NewmanC Ackroyd
May 12, 2009·The Journal of Arthroplasty·Merrill A Ritter, R Michael Meneghini
Dec 3, 2009·Irish Journal of Medical Science·K O OduwoleJ O'Byrne
Feb 24, 2010·Acta Orthopaedica·Jacqueline R HangLisa N Miller
Sep 16, 2010·Orthopedics·David A FisherKenneth Davis
Mar 2, 2011·The Journal of Bone and Joint Surgery. British Volume·G LabekB Stöckl

❮ Previous
Next ❯

Citations

Jan 1, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Emmanuel ThienpontJean Cyr Yombi
Nov 20, 2013·Clinical Orthopaedics and Related Research·Tuukka NiinimäkiVille Remes
Dec 18, 2013·International Orthopaedics·Michael B Cross, Richard Berger
Aug 13, 2014·International Orthopaedics·Tilman WalkerMarcus R Streit
Nov 5, 2013·The Journal of Arthroplasty·Joseph S GonduskyRobert Gorab
Nov 28, 2013·Clinics in Sports Medicine·Andrew J RiffCraig J Della Valle
Jul 6, 2013·The Orthopedic Clinics of North America·Alexander D LiddleChristopher A F Dodd
Apr 10, 2013·The Journal of Arthroplasty·Denis NamAndrew D Pearle
Apr 16, 2013·Maturitas·Alexander D LiddleHemant Pandit
Oct 16, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alberto VenturaEnrico Borgo
Jul 27, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pierre-Emmanuel SchwabEmmanuel Thienpont
Aug 28, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Anatole V WiikJustin P Cobb
May 11, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Marcus R StreitTobias Gotterbarm
Jun 19, 2013·The Journal of Arthroplasty·Jason M HurstAdolph V Lombardi
Mar 23, 2013·The Journal of Arthroplasty·Scott R SmallMerrill A Ritter
Jun 5, 2013·The Journal of Arthroplasty·Debdut BiswasCraig J Della Valle
May 25, 2013·The Journal of Arthroplasty·William C SchroerWilliam S Pietrzak
Jul 22, 2014·Osteoarthritis and Cartilage·A D LiddleD W Murray
Jan 8, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Søren RytterTorben Bæk Hansen
Jul 28, 2016·The Journal of Arthroplasty·Julie L ShanerJess H Lonner
Oct 30, 2016·The Journal of Arthroplasty·Tom Schmidt-BraeklingFriedrich Boettner
Nov 5, 2016·The Knee·Sheila ShankarCraig J Della Valle
Feb 2, 2017·Operative Orthopädie und Traumatologie·J ArnholdtA F Steinert
Oct 3, 2018·The Journal of Bone and Joint Surgery. American Volume·Gregory S KazarianAntonia F Chen
Jan 19, 2018·BMC Musculoskeletal Disorders·Benjamin PanzramTobias Gotterbarm
Aug 22, 2014·The Journal of Bone and Joint Surgery. American Volume·Kyle R DuchmanJohn J Callaghan
Jul 4, 2015·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Bryan D HaughomBrett R Levine
May 7, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Benjamin Richard MartinDavid W Murray
Feb 11, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·James A KennedyDavid W Murray

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.