What Is the Risk of Repeat Revision When Patellofemoral Replacement Is Revised to TKA? An Analysis of 482 Cases From a Large National Arthroplasty Registry

Clinical Orthopaedics and Related Research
Peter LewisPeter Myers

Abstract

Patellofemoral replacements (PFRs) have a higher rate of revision than unicompartmental knee arthroplasty or TKA. However, there is little information regarding why PFRs are revised, the components used for these revisions, or the outcome of the revision procedure. Some contend that PFR is a bridging procedure that can easily be revised to a TKA with similar results as a primary TKA; however, others dispute this suggestion. (1) In the setting of a large national registry, what were the reasons for revision of PFR to TKA and was the level of TKA constraint used in the revision associated with a subsequent risk of rerevision? (2) Is the risk of revision of the TKA used to revise a PFR greater than the risk of revision after a primary TKA and greater than the risk of rerevision after revision TKA? Data were obtained from the Australian Orthopaedic Association Joint Replacement Registry through December 31, 2016, for TKA revision procedures after PFR. Because revisions for infection may be staged procedures resulting in further planned operations, for the revision analyses, these were excluded. There were 3251 PFRs, 482 of which were revised to TKA during the 17-year study period. The risk of second revision was calculated using Ka...Continue Reading

References

Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Jess H LonnerRobert E Booth
Dec 5, 2006·The Journal of Bone and Joint Surgery. American Volume·Wayne B LeadbetterMichael A Mont
Aug 21, 2008·Clinical Orthopaedics and Related Research·Ryan M GarciaVictor M Goldberg
Aug 30, 2008·The Knee·Jack Farr, David Barrett
Dec 6, 2008·International Orthopaedics·Wayne B LeadbetterMichael A Mont
Feb 24, 2009·Acta Orthopaedica·Hans-Peter W van JonbergenAlbert van Kampen
Feb 24, 2010·Acta Orthopaedica·Jacqueline R HangLisa N Miller
Jan 10, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paul N BakerDavid Deehan
Mar 13, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sébastien LustigDavid Parker
Jul 6, 2013·The Orthopedic Clinics of North America·Jess H Lonner, Michael R Bloomfield
Nov 6, 2013·The Bone & Joint Journal·A A HofmannT H Magee
Jan 15, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·S Lustig
Feb 1, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·E Carlos Rodriguez-Merchan
Apr 18, 2014·The Journal of Bone and Joint Surgery. American Volume·Steven M KurtzKevin J Bozic
Jul 2, 2014·Clinical Orthopaedics and Related Research·Sébastien ParratteJean-Noël A Argenson
Nov 11, 2014·The Knee·Todd BorusEmmanuel Thienpont
Aug 2, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthias J FeuchtAndreas B Imhoff
Nov 23, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J P van der ListA D Pearle
Nov 9, 2016·The Knee·J P van der ListA D Pearle

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Citations

Nov 27, 2019·The Journal of Bone and Joint Surgery. American Volume·Michael J Taunton
Apr 30, 2020·Clinical Orthopaedics and Related Research·Peter L LewisHeather A Prentice

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