Abstract
The purpose of this study was to summarize the literature describing patient outcome following revision total knee arthroplasty. Original studies were included if they were published between 1990 and 2002, enrolled ten or more patients, and measured patient outcome using a global knee rating scale. We found 33 studies with a total number of 1,356 patients. There were 429 men and 611 women with a mean age of 67 (45–90) years. The weighted mean follow-up time was 57 (6–108) months. The main indication of revision was loosening. The weighted mean preoperative and postoperative knee scores were 49 (15–82) and 84 (58–109) respectively. There were significant differences between preoperative and postoperative knee and function scores and motion (knee: t=12.507 p<0.001, function: t=4.704 p<0.001, motion: t=5.346 p<0.001). Loosening was also the main complication after revision surgery. In this analysis, revision total knee arthroplasty was a safe and effective procedure.
Résumé
Le but de cette étude était de résumer la littérature qui décrit les résultats après reprise d’arthroplastie totale du genou. Les études originales ont été incluses si elles avaient été publiés entre 1990 et 2002, avec dix malades au moins et l’utilisation d’une échelle d’appréciation globale du genou. Nous avons trouvé 33 études avec un nombre total de 1356 malades. Il y avait 429 hommes et 611 femmes avec un âge moyen de 67 (45–90) années. La moyenne pondéré de suivi était 57 (6–108) mois. La principale indication pour la révision était le descellement. Les scores moyens pondérés préopératoires et les scores postopératoires étaient 49 (15–82) et 84 (58–109) respectivement. Il y avait des différences significatives entre les scores du genou pré - et postopératoires, les scores fonctionnels et les scores d’amplitude (score du Genou: t=12.507 p<0.001, scores fonctionnels: t=4.704 p<0.001, scores d’amplitude: t=5.346 p<0.001). Le descellement était aussi la principale complication après la chirurgie de révision. La révision de l’arthroplastie totale du genou était une procédure sûre et efficace dans ces études.
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References
Barrack RL, Lyons TR, Ingraham RQ et al (2000) The use of a modular rotating hinge component in salvage revision total knee arthroplasty. J Arthroplasty 15:858–866
Barrack RL, Rorabeck C, Partington P et al (2000) The results of retaining a well-fixed patellar component in revision total knee arthroplasty. J Arthroplasty 15:413–417
Benjamin J, Engh G, Parsley B et al (2001) Morselized bone grafting of defects in revision total knee arthroplasty. Clin Orthop 392:62–67
Bradley GW (2000) Revision total knee arthroplasty by impaction bone grafting. Clin Orthop 371:113–118
Fehring TK, Griffin WL (1998) Revision of failed cementless total knee implants with cement. Clin Orthop 356:34–38
Hartford JN, Goodman SB, Schurman DJ et al (1998) Complex primary and revision total knee arthroplasty using the condylar constrained prosthesis, an average 5-year follow-up. J Arthroplasty 13: 380–387
Hohl WM, Crawfurd E, Zelicof SB et al (1991) The total condylar III prosthesis in complex knee reconstruction. Clin Orthop 273:91–97
Karbowski A, Eckardt A, Schwitalle M et al (1998) Revision resurfacing knee arthroplasty for aseptic loosening. Arch Orthop Trauma Surg 117:256–258
Knight JL, Gorai PA, Atwater RD et al (1995) Tibial polyethylene failure after primary Porous-coated anatomic total knee arthroplasty, aid to diagnosis and revision. J Arthroplasty 10:748–757
L’Abbe KA, Detsky AS, O’Rourke K (1987) Meta-analysis of clinical research. Ann Intern Med 107: 224–233
Thacker SB (1988) Meta-analysis: a quantitative approach to research integration. JAMA 259: 1685–1689
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Sheng, P., Lehto, M., Kataja, M. et al. Patient outcome following revision total knee arthroplasty: a meta-analysis. International Orthopaedics (SICOT) 28, 78–81 (2004). https://doi.org/10.1007/s00264-003-0526-x
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DOI: https://doi.org/10.1007/s00264-003-0526-x