Patella Fractures Prior to Total Knee Arthroplasty: Worse Outcomes but Equivalent Survivorship

Matthew T. Houdek; Steven F. Shannon; Chad D. Watts; Eric R. Wagner; Stephen A. Sems; Rafael J. Sierra

doi:10.1016/j.arth.2015.06.001

Patella Fractures Prior to Total Knee Arthroplasty: Worse Outcomes but Equivalent Survivorship

Matthew T. Houdek, Steven F. Shannon, Chad D. Watts, Eric R. Wagner, Stephen A. Sems, Rafael J. Sierra

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Distal femur and/or tibial plateau fractures adversely affect outcomes of TKA; however it is unknown if a previous patella fracture affects outcome. We reviewed 113 patients undergoing TKA with a previous patella fracture from 1990 to 2012. Component survival was compared to 19,641 patients undergoing TKA for osteoarthritis during the same period. The 15-year implant survivals following a previous patella fracture was 86%. There was no difference in implant survival compared to patients undergoing TKA for OA (P=0.31). Knee society scores significantly improved following TKA; however patients with a fracture had complications related to knee flexion. Patients undergoing primary TKA following a patella fracture have similar overall revision free survival compared to those undergoing TKA for OA at 15-years.

Original language	English (US)
Pages (from-to)	2167-2169
Number of pages	3
Journal	Journal of Arthroplasty
Volume	30
Issue number	12
DOIs	https://doi.org/10.1016/j.arth.2015.06.001
State	Published - Dec 1 2015

Keywords

Outcomes
Patella fracture
Postoperative complications
Posttraumatic
Total knee arthroplasty

ASJC Scopus subject areas

Orthopedics and Sports Medicine

Access to Document

10.1016/j.arth.2015.06.001

Cite this

@article{f9547957ef9c41969396cb9808974c9f,

title = "Patella Fractures Prior to Total Knee Arthroplasty: Worse Outcomes but Equivalent Survivorship",

abstract = "Distal femur and/or tibial plateau fractures adversely affect outcomes of TKA; however it is unknown if a previous patella fracture affects outcome. We reviewed 113 patients undergoing TKA with a previous patella fracture from 1990 to 2012. Component survival was compared to 19,641 patients undergoing TKA for osteoarthritis during the same period. The 15-year implant survivals following a previous patella fracture was 86%. There was no difference in implant survival compared to patients undergoing TKA for OA (P=0.31). Knee society scores significantly improved following TKA; however patients with a fracture had complications related to knee flexion. Patients undergoing primary TKA following a patella fracture have similar overall revision free survival compared to those undergoing TKA for OA at 15-years.",

keywords = "Outcomes, Patella fracture, Postoperative complications, Posttraumatic, Total knee arthroplasty",

author = "Houdek, {Matthew T.} and Shannon, {Steven F.} and Watts, {Chad D.} and Wagner, {Eric R.} and Sems, {Stephen A.} and Sierra, {Rafael J.}",

note = "Publisher Copyright: {\textcopyright} 2015 Elsevier Inc.",

year = "2015",

month = dec,

day = "1",

doi = "10.1016/j.arth.2015.06.001",

language = "English (US)",

volume = "30",

pages = "2167--2169",

journal = "Journal of Arthroplasty",

issn = "0883-5403",

publisher = "Churchill Livingstone",

number = "12",

}

TY - JOUR

T1 - Patella Fractures Prior to Total Knee Arthroplasty

T2 - Worse Outcomes but Equivalent Survivorship

AU - Houdek, Matthew T.

AU - Shannon, Steven F.

AU - Watts, Chad D.

AU - Wagner, Eric R.

AU - Sems, Stephen A.

AU - Sierra, Rafael J.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Distal femur and/or tibial plateau fractures adversely affect outcomes of TKA; however it is unknown if a previous patella fracture affects outcome. We reviewed 113 patients undergoing TKA with a previous patella fracture from 1990 to 2012. Component survival was compared to 19,641 patients undergoing TKA for osteoarthritis during the same period. The 15-year implant survivals following a previous patella fracture was 86%. There was no difference in implant survival compared to patients undergoing TKA for OA (P=0.31). Knee society scores significantly improved following TKA; however patients with a fracture had complications related to knee flexion. Patients undergoing primary TKA following a patella fracture have similar overall revision free survival compared to those undergoing TKA for OA at 15-years.

AB - Distal femur and/or tibial plateau fractures adversely affect outcomes of TKA; however it is unknown if a previous patella fracture affects outcome. We reviewed 113 patients undergoing TKA with a previous patella fracture from 1990 to 2012. Component survival was compared to 19,641 patients undergoing TKA for osteoarthritis during the same period. The 15-year implant survivals following a previous patella fracture was 86%. There was no difference in implant survival compared to patients undergoing TKA for OA (P=0.31). Knee society scores significantly improved following TKA; however patients with a fracture had complications related to knee flexion. Patients undergoing primary TKA following a patella fracture have similar overall revision free survival compared to those undergoing TKA for OA at 15-years.

KW - Outcomes

KW - Patella fracture

KW - Postoperative complications

KW - Posttraumatic

KW - Total knee arthroplasty

UR - http://www.scopus.com/inward/record.url?scp=84952874914&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952874914&partnerID=8YFLogxK

U2 - 10.1016/j.arth.2015.06.001

DO - 10.1016/j.arth.2015.06.001

M3 - Article

C2 - 26148835

AN - SCOPUS:84952874914

SN - 0883-5403

VL - 30

SP - 2167

EP - 2169

JO - Journal of Arthroplasty

JF - Journal of Arthroplasty

IS - 12

ER -

Patella Fractures Prior to Total Knee Arthroplasty: Worse Outcomes but Equivalent Survivorship

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this