Incidence and Reasons for Reoperation after Minimally Invasive Unicompartmental Knee Arthroplasty

The goal of this report is to review reoperations undertaken on the initial 221 unicompartmental arthroplasties performed using a minimally invasive technique. A comparison was then performed between these cases and the previous 514 open medial unicompartmental arthroplasties performed at our instit...

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Veröffentlicht in:The Journal of arthroplasty 2006-09, Vol.21 (6), p.98-107
Hauptverfasser: Hamilton, William G., Collier, Matthew B., Tarabee, Eshan, McAuley, James P., Engh, C. Anderson, Engh, Gerard A.
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container_end_page 107
container_issue 6
container_start_page 98
container_title The Journal of arthroplasty
container_volume 21
creator Hamilton, William G.
Collier, Matthew B.
Tarabee, Eshan
McAuley, James P.
Engh, C. Anderson
Engh, Gerard A.
description The goal of this report is to review reoperations undertaken on the initial 221 unicompartmental arthroplasties performed using a minimally invasive technique. A comparison was then performed between these cases and the previous 514 open medial unicompartmental arthroplasties performed at our institution. In the minimally invasive group, 9 (4.1%) of 221 knees were revised (8 for component loosening, 1 for deep infection). Of 212 unrevised knees, 16 have required a total of 18 nonrevision reoperations. Overall, 25 of 221 knees required at least 1 reoperation (total reoperation rate, 11.3%). Despite an accelerated recovery and decreased hospital stay in our minimally invasive unicompartmental arthroplasties, the rate of revision due to aseptic loosening (3.7% vs 1.0%) and the overall reoperation rate (11.3% vs 8.6%) compare unfavorably with those performed with an open technique.
doi_str_mv 10.1016/j.arth.2006.05.010
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - methods
complications
Female
Humans
Knee Joint - diagnostic imaging
Length of Stay
Male
Middle Aged
minimally invasive
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Minimally Invasive Surgical Procedures - statistics & numerical data
Prosthesis Failure
Radiography
reoperation
Reoperation - statistics & numerical data
Retrospective Studies
Treatment Outcome
unicompartmental arthroplasty
title Incidence and Reasons for Reoperation after Minimally Invasive Unicompartmental Knee Arthroplasty
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