Increased Risk of Postoperative Complications After Total Knee Arthroplasty in Patients With Previous Patellectomy

Omar J. Haque, Hilal D Maradit Kremers, Walter K Kremers, Daniel J. Berry, David G. Lewallen, Robert T. Trousdale, Rafael J. Sierra

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Few studies have reported the results of total knee arthroplasty (TKA) in patients with previous patellectomy. The purpose of this study was to assess the risk of complications and survivorship of primary TKA in patients who previously had a patellectomy in comparison to those undergoing TKA with patellar resurfacing. Methods: This was a historical cohort study and comprised 134 knees with previous patellectomy in a cohort of 17,946 primary TKA procedures at a single institution between 1985 and 2010. Multivariable Cox regression analyses were used to estimate the risk of complications and revisions in patients with previous patellectomy. Results: When compared to TKA with patellar resurfacing, the risk of complications (hazards ratio: 1.38, 95% confidence interval: 1.05, 1.81) was significantly higher in post-patellectomy knees, but there was no difference in the risk of revisions (hazards ratio: 1.32, 95% confidence interval: 0.80, 2.18). There was no significant difference between the posterior-stabilized and cruciate-retaining designs in terms of both complications and revisions (P > .05). The most common complications in post-patellectomy knees were instability, delayed healing, and infection. Conclusion: TKA patients with previous patellectomy have a higher risk of complications but not a higher risk of revisions.

Original languageEnglish (US)
JournalJournal of Arthroplasty
DOIs
StateAccepted/In press - Dec 28 2015

Fingerprint

Knee Replacement Arthroplasties
Knee
Confidence Intervals
Cohort Studies
Survival Rate
Regression Analysis
Infection

Keywords

  • Complications
  • Patella
  • Patellectomy
  • Revision
  • TKA
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Increased Risk of Postoperative Complications After Total Knee Arthroplasty in Patients With Previous Patellectomy. / Haque, Omar J.; Maradit Kremers, Hilal D; Kremers, Walter K; Berry, Daniel J.; Lewallen, David G.; Trousdale, Robert T.; Sierra, Rafael J.

In: Journal of Arthroplasty, 28.12.2015.

Research output: Contribution to journalArticle

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abstract = "Background: Few studies have reported the results of total knee arthroplasty (TKA) in patients with previous patellectomy. The purpose of this study was to assess the risk of complications and survivorship of primary TKA in patients who previously had a patellectomy in comparison to those undergoing TKA with patellar resurfacing. Methods: This was a historical cohort study and comprised 134 knees with previous patellectomy in a cohort of 17,946 primary TKA procedures at a single institution between 1985 and 2010. Multivariable Cox regression analyses were used to estimate the risk of complications and revisions in patients with previous patellectomy. Results: When compared to TKA with patellar resurfacing, the risk of complications (hazards ratio: 1.38, 95{\%} confidence interval: 1.05, 1.81) was significantly higher in post-patellectomy knees, but there was no difference in the risk of revisions (hazards ratio: 1.32, 95{\%} confidence interval: 0.80, 2.18). There was no significant difference between the posterior-stabilized and cruciate-retaining designs in terms of both complications and revisions (P > .05). The most common complications in post-patellectomy knees were instability, delayed healing, and infection. Conclusion: TKA patients with previous patellectomy have a higher risk of complications but not a higher risk of revisions.",
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AU - Haque, Omar J.

AU - Maradit Kremers, Hilal D

AU - Kremers, Walter K

AU - Berry, Daniel J.

AU - Lewallen, David G.

AU - Trousdale, Robert T.

AU - Sierra, Rafael J.

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N2 - Background: Few studies have reported the results of total knee arthroplasty (TKA) in patients with previous patellectomy. The purpose of this study was to assess the risk of complications and survivorship of primary TKA in patients who previously had a patellectomy in comparison to those undergoing TKA with patellar resurfacing. Methods: This was a historical cohort study and comprised 134 knees with previous patellectomy in a cohort of 17,946 primary TKA procedures at a single institution between 1985 and 2010. Multivariable Cox regression analyses were used to estimate the risk of complications and revisions in patients with previous patellectomy. Results: When compared to TKA with patellar resurfacing, the risk of complications (hazards ratio: 1.38, 95% confidence interval: 1.05, 1.81) was significantly higher in post-patellectomy knees, but there was no difference in the risk of revisions (hazards ratio: 1.32, 95% confidence interval: 0.80, 2.18). There was no significant difference between the posterior-stabilized and cruciate-retaining designs in terms of both complications and revisions (P > .05). The most common complications in post-patellectomy knees were instability, delayed healing, and infection. Conclusion: TKA patients with previous patellectomy have a higher risk of complications but not a higher risk of revisions.

AB - Background: Few studies have reported the results of total knee arthroplasty (TKA) in patients with previous patellectomy. The purpose of this study was to assess the risk of complications and survivorship of primary TKA in patients who previously had a patellectomy in comparison to those undergoing TKA with patellar resurfacing. Methods: This was a historical cohort study and comprised 134 knees with previous patellectomy in a cohort of 17,946 primary TKA procedures at a single institution between 1985 and 2010. Multivariable Cox regression analyses were used to estimate the risk of complications and revisions in patients with previous patellectomy. Results: When compared to TKA with patellar resurfacing, the risk of complications (hazards ratio: 1.38, 95% confidence interval: 1.05, 1.81) was significantly higher in post-patellectomy knees, but there was no difference in the risk of revisions (hazards ratio: 1.32, 95% confidence interval: 0.80, 2.18). There was no significant difference between the posterior-stabilized and cruciate-retaining designs in terms of both complications and revisions (P > .05). The most common complications in post-patellectomy knees were instability, delayed healing, and infection. Conclusion: TKA patients with previous patellectomy have a higher risk of complications but not a higher risk of revisions.

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