Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

Matthew P. Abdel; Philipp von Roth; William W. Cross; Daniel J. Berry; Robert T. Trousdale; David G. Lewallen

doi:10.1016/j.arth.2015.06.032

Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

Matthew P. Abdel, Philipp von Roth, William W. Cross, Daniel J. Berry, Robert T. Trousdale, David G. Lewallen

Orthopedic Surgery

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

41 Scopus citations

Abstract

The goal of the current study was to determine the 15-year outcomes of 62 patients who underwent a total knee arthroplasty (TKA) after a prior tibial plateau fracture. Mean age at the index surgical intervention was 63 years. At most recent followup, there were 11 revisions. The 15-year survivorship free from revision for aseptic loosening was 96%. In unrevised cases, the components were radiographically well-fixed. There were a total of 21 complications, 90% of which occurred at <2 years. While patients undergoing TKA after a tibial plateau fracture have an increased rate of complications, the 15-year results indicate that subsequent survivorship is similar to that of patients undergoing TKA for degenerative arthritis if early complications can be avoided.

Original language	English (US)
Pages (from-to)	2170-2172
Number of pages	3
Journal	Journal of Arthroplasty
Volume	30
Issue number	12
DOIs	https://doi.org/10.1016/j.arth.2015.06.032
State	Published - Dec 1 2015

Keywords

Complications
Post-traumatic arthritis
Survivorship
Tibia plateau fracture
Total knee arthroplasty (TKA)

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2015.06.032

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title = "Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years",

abstract = "The goal of the current study was to determine the 15-year outcomes of 62 patients who underwent a total knee arthroplasty (TKA) after a prior tibial plateau fracture. Mean age at the index surgical intervention was 63 years. At most recent followup, there were 11 revisions. The 15-year survivorship free from revision for aseptic loosening was 96%. In unrevised cases, the components were radiographically well-fixed. There were a total of 21 complications, 90% of which occurred at <2 years. While patients undergoing TKA after a tibial plateau fracture have an increased rate of complications, the 15-year results indicate that subsequent survivorship is similar to that of patients undergoing TKA for degenerative arthritis if early complications can be avoided.",

keywords = "Complications, Post-traumatic arthritis, Survivorship, Tibia plateau fracture, Total knee arthroplasty (TKA)",

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AU - von Roth, Philipp

AU - Cross, William W.

AU - Berry, Daniel J.

AU - Trousdale, Robert T.

AU - Lewallen, David G.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - The goal of the current study was to determine the 15-year outcomes of 62 patients who underwent a total knee arthroplasty (TKA) after a prior tibial plateau fracture. Mean age at the index surgical intervention was 63 years. At most recent followup, there were 11 revisions. The 15-year survivorship free from revision for aseptic loosening was 96%. In unrevised cases, the components were radiographically well-fixed. There were a total of 21 complications, 90% of which occurred at <2 years. While patients undergoing TKA after a tibial plateau fracture have an increased rate of complications, the 15-year results indicate that subsequent survivorship is similar to that of patients undergoing TKA for degenerative arthritis if early complications can be avoided.

AB - The goal of the current study was to determine the 15-year outcomes of 62 patients who underwent a total knee arthroplasty (TKA) after a prior tibial plateau fracture. Mean age at the index surgical intervention was 63 years. At most recent followup, there were 11 revisions. The 15-year survivorship free from revision for aseptic loosening was 96%. In unrevised cases, the components were radiographically well-fixed. There were a total of 21 complications, 90% of which occurred at <2 years. While patients undergoing TKA after a tibial plateau fracture have an increased rate of complications, the 15-year results indicate that subsequent survivorship is similar to that of patients undergoing TKA for degenerative arthritis if early complications can be avoided.

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Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

Abstract

Keywords

ASJC Scopus subject areas

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