What are the causes of failure after total knee arthroplasty?
Purpose: This study aimed to review the causes of failure after total knee arthroplasty (TKA), focusing on the causes of revision and persistent pain. Methods: A literature search was conducted in the databases of PubMed, Cochrane Library, and Google Scholar for articles published before October 4,...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Joint Surgery and Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949705122000020 |
| _version_ | 1797235504093069312 |
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| author | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi |
| author_facet | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi |
| author_sort | Hiroshi Inui |
| collection | DOAJ |
| description | Purpose: This study aimed to review the causes of failure after total knee arthroplasty (TKA), focusing on the causes of revision and persistent pain. Methods: A literature search was conducted in the databases of PubMed, Cochrane Library, and Google Scholar for articles published before October 4, 2022. In addition, registry data from 11 countries were obtained from national registry archives. Results: National registry data and recent articles show that aseptic loosening, infection, instability, patellofemoral complication, and pain are major overall causes of TKA revisions. The most common etiologies of TKA revisions were aseptic loosening in six countries and infection in four countries. In contrast, polyethylene wear has become one of the minor reasons for revision, although it used to be one of the major causes of revision. Additionally, various causes of persistent pain include improper component placement, oversizing, patellofemoral overstuffing, ligament imbalance, elevated joint lines, kinematic abnormalities, and preoperative psychological factors such as catastrophizing state and central sensitization of pain. Conclusions: With the evolution of surgical techniques and prosthetic designs, a paradigm shift in the etiology of failure mechanisms after TKA might have occurred. However, the number of patients with TKA failure suffering from persistent pain and requiring revision is increasing. Thus, orthopedic surgeons must understand the current situations of TKA failures to improve clinical outcomes and reduce post-TKA dissatisfaction. |
| first_indexed | 2024-04-24T16:49:00Z |
| format | Article |
| id | doaj.art-f2bacc42d82342cdab09e0dcf494cf65 |
| institution | Directory Open Access Journal |
| issn | 2949-7051 |
| language | English |
| last_indexed | 2024-04-24T16:49:00Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Joint Surgery and Research |
| spelling | doaj.art-f2bacc42d82342cdab09e0dcf494cf652024-03-29T05:51:46ZengElsevierJournal of Joint Surgery and Research2949-70512023-12-01113240What are the causes of failure after total knee arthroplasty?Hiroshi Inui0Ryota Yamagami1Kenichi Kono2Kohei Kawaguchi3Saitama Medical University, Saitama Medical Center, 1981 Kamoda, Kawagoe City, Saitama 350-8500, Japan; Corresponding author.Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, JapanPurpose: This study aimed to review the causes of failure after total knee arthroplasty (TKA), focusing on the causes of revision and persistent pain. Methods: A literature search was conducted in the databases of PubMed, Cochrane Library, and Google Scholar for articles published before October 4, 2022. In addition, registry data from 11 countries were obtained from national registry archives. Results: National registry data and recent articles show that aseptic loosening, infection, instability, patellofemoral complication, and pain are major overall causes of TKA revisions. The most common etiologies of TKA revisions were aseptic loosening in six countries and infection in four countries. In contrast, polyethylene wear has become one of the minor reasons for revision, although it used to be one of the major causes of revision. Additionally, various causes of persistent pain include improper component placement, oversizing, patellofemoral overstuffing, ligament imbalance, elevated joint lines, kinematic abnormalities, and preoperative psychological factors such as catastrophizing state and central sensitization of pain. Conclusions: With the evolution of surgical techniques and prosthetic designs, a paradigm shift in the etiology of failure mechanisms after TKA might have occurred. However, the number of patients with TKA failure suffering from persistent pain and requiring revision is increasing. Thus, orthopedic surgeons must understand the current situations of TKA failures to improve clinical outcomes and reduce post-TKA dissatisfaction.http://www.sciencedirect.com/science/article/pii/S2949705122000020Total knee arthroplastyRevisionPersistent painRegistry dataFailure mechanism |
| spellingShingle | Hiroshi Inui Ryota Yamagami Kenichi Kono Kohei Kawaguchi What are the causes of failure after total knee arthroplasty? Journal of Joint Surgery and Research Total knee arthroplasty Revision Persistent pain Registry data Failure mechanism |
| title | What are the causes of failure after total knee arthroplasty? |
| title_full | What are the causes of failure after total knee arthroplasty? |
| title_fullStr | What are the causes of failure after total knee arthroplasty? |
| title_full_unstemmed | What are the causes of failure after total knee arthroplasty? |
| title_short | What are the causes of failure after total knee arthroplasty? |
| title_sort | what are the causes of failure after total knee arthroplasty |
| topic | Total knee arthroplasty Revision Persistent pain Registry data Failure mechanism |
| url | http://www.sciencedirect.com/science/article/pii/S2949705122000020 |
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