COMPLICATIONS OF TOTAL KNEE ARTHROPLASTY
Abstract
Within the last two decades, total knee replacement has become one of the most dominant operating procedures in orthopaedic surgery and traumatology. We witness a growth of the elderly population globally, which results in an increased number of patients with osteoarthritis whose clinical evaluation and subjective concerns require total knee replacement. The majority of patients who underwent surgical procedure are satisfied with the outcome in the long term follow-up period. However, these is still certain percent of patients who underwent surgical procedure who are not satisfied with the outcome. The reasons of dissatisfaction are mostly due to intraoperative and postoperative treatment solutions for surgical complications. The aim of this paperwork is to systematize all potential complications, as well as its diagnostic methods and further treatments in clinical practice. It also aims to highlight possible root causes for these complications in pre-operative selection of patients, intraoperative and post-operative treatment solutions.
References
1. Hootman JM, Helmick CG, Barbour KE, Theis KA, Boring MA. Updated Projected Prevalence of Self-Reported Doctor-Diagnosed Arthritis and Arthritis-Attributable Activity Limitation Among US Adults, 2015-2040. Arthritis Rheumatol. 2016 Jul;68(7):1582–7.
2. Heo SM, Harris I, Naylor J, Lewin AM. Complications to 6 months following total hip or knee arthroplasty: observations from an Australian clinical outcomes registry. BMC Musculoskelet Disord. 2020 Sep 10;21(1):602.
3. Healy WL, Della Valle CJ, Iorio R, Berend KR, Cushner FD, Dalury DF, et al. Complications of total knee arthroplasty: standardized list and definitions of the Knee Society. Clin Orthop Relat Res. 2013 Jan;471(1):215–20.
4. Abril JC, Alvarez L, Vallejo JC. Patellar tendon avulsion after total knee arthroplasty. A new technique. J Arthroplasty. 1995 Jun;10(3):275–9.
5. Siqueira MBP, Haller K, Mulder A, Goldblum AS, Klika AK, Barsoum WK. Outcomes of Medial Collateral Ligament Injuries during Total Knee Arthroplasty. J Knee Surg. 2016 Jan;29(1):68–73.
6. Statz JM, Ledford CK, Chalmers BP, Taunton MJ, Mabry TM, Trousdale RT. Geniculate Artery Injury During Primary Total Knee Arthroplasty. Am J Orthop (Belle Mead NJ). 2018 Oct;47(10).
7. Sundaram K, Udo-Inyang I, Mont MA, Molloy R, Higuera-Rueda C, Piuzzi NS. Vascular Injuries in Total Knee Arthroplasty: A Systematic Review and Meta-Analysis. JBJS Rev. 2020 Jan;8(1):e0051.
8. Cohen D, Backstein D. Nerve Injuries in Total Knee Arthroplasty. Orthop Clin North Am. 2022 Apr;53(2):123–7.
9. Webster DA, Murray DG. Complications of Variable Axis total knee arthroplasty. Clin Orthop Relat Res. 1985 Mar;(193):160–7.
10. Siddiqi A, Ahmed A, Pasqualini I, Molloy RM, Krebs VE, Piuzzi NS. Intraoperative Fractures Sustained During Total Knee Arthroplasty: A Critical Analysis Review. JBJS Rev. 2023 Jun 1;11(6).
11. Clayton RAE, Gaston P, Watts AC, Howie CR. Thromboembolic disease after total knee replacement: experience of 5100 cases. Knee. 2009 Jan;16(1):18–21.
12. Hill BW, Huang H, Li M. Paradoxical cerebral embolism after total knee arthroplasty. Orthopedics. 2012 Nov;35(11):e1659-1663.
13. Feng B, Lin J, Jin J, Qian WW, Wang W, Weng XS. Thirty-day Postoperative Complications following Primary Total Knee Arthroplasty: A Retrospective Study of Incidence and Risk Factors at a Single Center in China. Chin Med J (Engl). 2017 Nov 5;130(21):2551–6.
14. Shahi A, Chen AF, Tan TL, Maltenfort MG, Kucukdurmaz F, Parvizi J. The Incidence and Economic Burden of In-Hospital Venous Thromboembolism in the United States. J Arthroplasty. 2017 Apr;32(4):1063–6.
15. O’Donnell M, Linkins LA, Kearon C, Julian J, Hirsh J. Reduction of out-of-hospital symptomatic venous thromboembolism by extended thromboprophylaxis with low-molecular-weight heparin following elective hip arthroplasty: a systematic review. Arch Intern Med. 2003 Jun 9;163(11):1362–6.
16. Flevas DA, Megaloikonomos PD, Dimopoulos L, Mitsiokapa E, Koulouvaris P, Mavrogenis AF. Thromboembolism prophylaxis in orthopaedics: an update. EFORT Open Rev. 2018 Apr;3(4):136–48.
17. Drago L, De Vecchi E, Bortolin M, Zagra L, Romanò CL, Cappelletti L. Epidemiology and Antibiotic Resistance of Late Prosthetic Knee and Hip Infections. J Arthroplasty. 2017 Aug;32(8):2496–500.
18. Tai DBG, Patel R, Abdel MP, Berbari EF, Tande AJ. Microbiology of hip and knee periprosthetic joint infections: a database study. Clin Microbiol Infect. 2022 Feb;28(2):255–9.
19. Pinski JM, Chen AF, Estok DM, Kavolus JJ. Nuclear Medicine Scans in Total Joint Replacement. J Bone Joint Surg Am. 2021 Feb 17;103(4):359–72.
20. Postler A, Lützner C, Beyer F, Tille E, Lützner J. Analysis of Total Knee Arthroplasty revision causes. BMC Musculoskelet Disord. 2018 Feb 14;19(1):55.
21. Johnston H, Abdelgaied A, Pandit H, Fisher J, Jennings LM. The effect of surgical alignment and soft tissue conditions on the kinematics and wear of a fixed bearing total knee replacement. J Mech Behav Biomed Mater. 2019 Dec;100:103386.
22. Chakrabarty G, Vashishtha M, Leeder D. Polyethylene in knee arthroplasty: A review. J Clin Orthop Trauma. 2015 Jun;6(2):108–12.
23. Goodman SB, Gallo J, Gibon E, Takagi M. Diagnosis and management of implant debris-associated inflammation. Expert Rev Med Devices. 2020 Jan;17(1):41–56.
24. Chang MJ, Lim H, Lee NR, Moon YW. Diagnosis, causes and treatments of instability following total knee arthroplasty. Knee Surg Relat Res. 2014 Jun;26(2):61–7.
25. Rodriguez-Merchan EC. Instability following total knee arthroplasty. HSS J. 2011 Oct;7(3):273–8.
26. Rodríguez-Merchán EC. Total knee arthroplasty using hinge joints: Indications and results. EFORT Open Rev. 2019 Apr;4(4):121–32.
27. Patel J, Ries MD, Bozic KJ. Extensor mechanism complications after total knee arthroplasty. Instr Course Lect. 2008;57:283–94.
28. Sequeira SB, Scott J, Novicoff W, Cui Q. Systematic review of the etiology behind patellar clunk syndrome. WJO [Internet]. 2020 Mar 18 [cited 2023 Oct 10];11(3):184–96. Available from: https://www.wjgnet.com/2218-5836/full/v11/i3/184.htm