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Mortality in Revision Knee Arthroplasty

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Revision Total Knee Arthroplasty

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Abstract

Revision knee arthroplasty is a major undertaking for most patients, particularly septic revisions which carry a high morbidity and mortality. In a large cohort of rTKA cases at our tertiary centre, the 10-year survivorship of septic revisions was 68.7 and 80.2% for aseptic revisions. These findings have important practical implications as these outcomes are comparable to those that we see in some cancer patients; the risk of mortality following septic rTKA is higher than that of some of the most common cancers. This reality should be highlighted in candid discussions when counselling patients not only at time of revision surgery, when patients have little choice when infection has already developed, but more importantly at time of primary TKA, particularly for those patients who are at higher risk for developing periprosthetic joint infection. This chapter focuses on long-term mortality in revision knee patients, particularly focusing on septic versus aseptic revisions.

You can die of the cure before you die of the illness.

Michael Landon.

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Authors and Affiliations

  1. Nottingham Elective Orthopaedic Services, Nottingham University Hospitals NHS Trust, Nottingham, UK

    Hosam E. Matar,  Benjamin V. Bloch & Peter J. James

  2. Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada

    Hugh U. Cameron

Authors
  1. Hosam E. Matar
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  2. Benjamin V. Bloch
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  3. Hugh U. Cameron
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  4. Peter J. James
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Correspondence to Hosam E. Matar .

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Matar, H.E., Bloch, .V., Cameron, H.U., James, P.J. (2021). Mortality in Revision Knee Arthroplasty. In: Revision Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-81285-0_17

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  • DOI: https://doi.org/10.1007/978-3-030-81285-0_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81284-3

  • Online ISBN: 978-3-030-81285-0

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