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Total Knee Arthroplasty for the Young, Active Patient with Osteoarthritis

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Management of Knee Osteoarthritis in the Younger, Active Patient

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Abstract

The demographic profile and expectations of patients with tricompartmental knee osteoarthritis who are seeking surgical treatment have shifted over the past several decades. Patients today tend to be younger and more active and seek rapid recovery, while also demand return to high-performance activities and optimal durability characteristics of their total knee components. Consequently, it is critical that surgeons understand the performance and survivability of total knee arthroplasty (TKA) in the young patient and appropriately counsel patients about postoperative expectations for pain relief, function, and durability.

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References

  1. Australian Orthopaedic Association National Joint Replacement Registry. Annual Report. 2014. www.aoa.org.au.

  2. Sharkey PF, Hozack WJ, Rothman RH, et al. Why are total knee arthroplasties failing today? Clin Orthop Relat Res. 2002;404:7–13.

    Article  Google Scholar 

  3. Bozic KJ, Kurtz SM, Lau E, et al. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res. 2010;468:45–58.

    Article  PubMed  Google Scholar 

  4. Sharkey PF, Lichstein PM, Chao S, et al. Why are total knee arthroplasties failing today—has anything changed after 10 years? J Arthroplasty. 2014;29:1774–8.

    Article  PubMed  Google Scholar 

  5. Schroer WC, Berend KR, Lombardi AV, et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplasty. 2013;28(1):116–9.

    Article  PubMed  Google Scholar 

  6. Le DH, Goodman SB, Maloney WJ, et al. Current modes of failure in TKA: infection, instability and stiffness predominate. Clin Orthop Relat Res. 2014;472:2197–200.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Bozic KJ, Lau E, Ong K, et al. Risk factors for early revision after primary TKA in medicare patients. Clin Orthop Relat Res. 2014;472:232–7.

    Article  PubMed  Google Scholar 

  8. Long WJ, Bryce CD, Hollenbeak CS, et al. Total knee replacement in young, active patients: long-term follow-up and functional outcome. J Bone Joint Surg Am. 2014;96(18):e159.

    Article  PubMed  Google Scholar 

  9. Nakama GY, Almeida GJM, Lira N, et al. Cemented, cementless or hybrid fixation options in total knee arthroplasty for osteoarthritis and other non-traumatic diseases. Cochrane Database Syst Rev. 2012;(10):CD006193. doi:10.1002/14651858.CD006193.pub2.

  10. National Joint Registry for England, Wales and Northern Ireland. 11th Annual Report. 2014. www.njrreports.org.uk.

  11. Kim YH, Park JW, Kim JS. Long-term clinical outcomes and survivorship of press-fit condylar sigma fixed-bearing and mobile-bearing total knee prostheses in the same patient. J Bone Joint Surg Am. 2014;96(19):e168.

    Article  PubMed  Google Scholar 

  12. Callahan CM, Drake BG, Heck DA, et al. Patient outcomes following tricompartmental total knee replacement: a meta-analysis. JAMA. 1994;271:1349–57.

    Article  CAS  PubMed  Google Scholar 

  13. He JY, Jiang LS, Dai LY. Is patellar resurfacing superior than nonresurfacing in TKA? A meta-analysis of randomized trials. Knee. 2011;18(3):137–44.

    Article  PubMed  Google Scholar 

  14. Orthopaedic Network News. 2014;25(3):13.

    Google Scholar 

  15. Whiting DR, Duncan CM, Sierra RJ, et al. Tranexamic acid benefits total joint arthroplasty patients regardless of preoperative hemoglobin value. J Arthroplasty. 2015. http://dx.doi.org/10.1016/j.arth.2015.05.050.

  16. Shemshaki H, Nourian SM, Nourain N, et al. One step closer to sparing total blood loss and transfusion rate in total knee arthroplasty: a meta-analysis or different methods of tranexamic acid administration. Arch Orthop Trauma Surg. 2015;135(4):573–88.

    Article  PubMed  Google Scholar 

  17. Gomez-Barrena E, Ortega-Andreu M, Padilla-Eguiluz NG, et al. Topical intra-articular compared with intravenous tranexamic acid to reduce blood loss in primary total knee replacement: a double-blind, randomized, controlled, noninferiority clinical trial. Bone Joint Surg Am. 2014;96(23):1937–44.

    Article  Google Scholar 

  18. Surdam JW, Baynes NT, Arce BR. The use of exparel (liposomal bupivacaine) to manage postoperative pain in unilateral total knee arthroplasty patients. J Arthroplasty. 2015;30(2):325–9.

    Article  PubMed  Google Scholar 

  19. Springer BD. Transition from nerve blocks to periarticular injections and emerging techniques in total joint arthroplasty. Am J Orthop. 2014;43 Suppl 10:6–9.

    Google Scholar 

  20. Bedair H, Cha TD, Hansen VJ. Economic benefit to society at large of total knee arthroplasty in younger patients. A Markov analysis. J Bone Joint Surg Am. 2014;96(2):119–26.

    Article  PubMed  Google Scholar 

  21. Heck DA, Robinson RL, Partridge CM, et al. Patient outcomes after knee replacement. Clin Orthop Relat Res. 1998;356:93–110.

    Article  Google Scholar 

  22. Nam D, Nunley RM, Barrack RL. Patient dissatisfaction following total knee replacement. A growing concern? Bone Joint J. 2014;96-B(Suppl A):96–100.

    Article  CAS  PubMed  Google Scholar 

  23. Noble PC, Gordon MJ, Weiss JM, et al. Does total knee replacement restore normal knee function? Clin Orthop Relat Res. 2005;431:157–65.

    Article  Google Scholar 

  24. Schai PA, Gibbon AJ, Scott RD. Kneeling ability after total knee arthroplasty: perception and reality. Clin Orthop Relat Res. 1999;367:195–200.

    Google Scholar 

  25. Weiss JM, Noble PC, Conditt MA, et al. What functional activities are important to patients with knee replacements? Clin Orthop Relat Res. 2002;404:172–88.

    Article  Google Scholar 

  26. Lutzner C, Kirschner S, Lutzner J. Patient activity after TKA depends on patient-specific parameters. Clin Orthop Relat Res. 2014;472:3933–40.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Jassim SS, Douglas SL, Haddad FS. Athletic activity after lower limb arthroplasty. Bone Joint J. 2014;96-B:923–7.

    Article  CAS  PubMed  Google Scholar 

  28. Tilbury C, Schaasberg W, Pleview JW, et al. Return to work after total hip and knee arthroplasty: a systematic review. Rheumatology. 2014;53:512–25.

    Article  PubMed  Google Scholar 

  29. Ansari F, Chang J, Huddleston JI, et al. Fractography and oxidative analysis of gamma inert sterilized posterior-stabilized tibial insert post fractures: a report of two cases. Knee. 2013;20(6):609–13.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, CA, USA

    Tiffany N. Castillo MD & James I. Huddleston MD

Authors
  1. Tiffany N. Castillo MD
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  2. James I. Huddleston MD
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Corresponding author

Correspondence to James I. Huddleston MD .

Editor information

Editors and Affiliations

  1. Sydney Orthopaedic Research Institute, Sydney, New South Wales, Australia

    David Parker

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© 2016 ISAKOS

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Castillo, T.N., Huddleston, J.I. (2016). Total Knee Arthroplasty for the Young, Active Patient with Osteoarthritis. In: Parker, D. (eds) Management of Knee Osteoarthritis in the Younger, Active Patient. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48530-9_8

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  • DOI: https://doi.org/10.1007/978-3-662-48530-9_8

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48528-6

  • Online ISBN: 978-3-662-48530-9

  • eBook Packages: MedicineMedicine (R0)

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