Total knee arthroplasty in young patients: Factors predictive of aseptic failure in the 2nd-4th decade
- PMID: 29200709
- PMCID: PMC5702864
- DOI: 10.1016/j.jor.2017.11.004
Total knee arthroplasty in young patients: Factors predictive of aseptic failure in the 2nd-4th decade
Abstract
Objective: In a recently published article we reviewed our long term outcomes of TKA in young patients (<55) with end stage OA. The purpose of this study was to identify what additional factors may predict aseptic failure in these young patients.
Methods: A retrospective review of all patients in our young TKA database was performed, and included failure only for mechanical wear and loosening.
Results: The IB-II prosthesis, a thin polyethylene (<9 mm), and higher Knee Society functional class at midterm follow-up was associated with higher failure rate.
Conclusion: This study helps better identify the etiology of failed young patient TKA.
Keywords: Long term outcomes in TKA; Predictors of failure in TKA; Young patients with TKAs.
References
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- Kim Y.H., Kim J.S., Choe J.W., Kim H.J. Long-term comparison of fixed-bearing and mobile-bearing total knee replacements in patients younger than fifty-one years of age with osteoarthritis. J Bone Joint Surg Am. 2012;94(May (10)):866–873. - PubMed
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