From: Evolving etiologies and rates of revision total knee arthroplasty: a 10-year institutional report
All Causes | PJI | Aseptic Loosening | Instability | Osteolysis | Arthrofibrosis | PE Wear | Malalignment | Patellar Loosening | Periprosthetic Fracture | Pain | Extensor Mechanism Deficiency | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Revision TKAs | 258 | 75 (29.3%) | 51 (19.7%) | 30 (11.6%) | 27 (10.4%) | 21 (8.1%) | 20 (7.7%) | 14 (5.4%) | 8 (3.1%) | 6 (2.3%) | 4 (1.5%) | 2 (0.8%) |
Male | 120 | 43 | 21 | 10 | 13 | 8 | 11 | 8 | 5 | 0 | 0 | 1 |
BMI [Kg/m2] | 29.3 | 28.6 +/- 6.2 | 29.5 +/- 5.1 | 31.7 +/- 7.4 | 28.0 +/- 3.9 | 29.3 +/- 5.9 | 30.1 +/- 6.4 | 28.5 +/- 4.6 | 30.7 +/- 6.5 | 25.5 +/- 5.9 | 32.0 | |
Age at Index TKA [years] | 62.7 +/- 10.7 | 67.2 +/- 11.7 | 62.7 +/- 9.4 | 59.8 +/- 11.9 | 56.9 +/- 8.8 | 64.3 +/- 7.9 | 55.8 +/- 11.1 | 61.9 +/- 7.1 | 61.9 +/- 9.4 | 67.3 +/- 6.6 | 61.2 +/- 4.7 | 55.1 |
Time to Revision TKA [years] | 6.8 +/- 6.3 | 4.4 +/- 5.1 | 8.4 +/- 5.8 | 4.4 +/- 5.3 | 15.7 +/- 3.9 | 3.2 +/- 2.6 | 11.0 +/- 5.7 | 3.8 +/- 3.6 | 6.6 +/- 5.5 | 11.4 +/- 9.4 | 3.0 +/- 4.4 | 2.2 |
Time to Revision: | ||||||||||||
<2 years | 76 (29.3%) | 36 (47.4%) | 4 (5.3%) | 14 (18.4%) | 0 | 10 (13.2%) | 1 (1.3%) | 6 (7.9%) | 2 (2.6%) | 0 | 3 (3.9%) | 0 |
≥2 years | 182 (70.7%) | 39 (21.9%) | 47 (25.7%) | 16 (8.7%) | 27 (14.8%) | 11 (6.0%) | 19 (10.4%) | 8 (4.4%) | 6 (3.3%) | 6 (3.3%) | 1 (0.5%) | 2 (1.1%) |
Primary Time Period: | ||||||||||||
Before 2000 | 76 (29.3%) | 10 (13.2%) | 15 (19.7%) | 3 (3.9%) | 25 (32.9%) | 1 (1.3%) | 14 (18.4%) | 1 (1.3%) | 0 | 5 (6.6%) | 0 | 1 (1.3%) |
After 2000 | 182 (70.7%) | 65 (35.7%) | 36 (19.8%) | 27 (14.8%) | 2 (1.1%) | 20 (11.0%) | 6 (3.3%) | 13 (7.1%) | 7 (3.8%) | 1 (0.5%) | 4 (2.2%) | 1 (0.5%) |
Revision Time Period: | ||||||||||||
2005-2009 | 109 (38.2%) | 35 (32.1%) | 14 (12.8%) | 12 (11.0%) | 10 (9.2%) | 9 (8.3%) | 14 (12.8%) | 5 (4.6%) | 3 (2.8%) | 4 (3.7%) | 2 (1.8%) | 1 (0.9%) |
2010-2014 | 149 (57.8%) | 40 (27.3%) | 37 (24.7%) | 18 (12.0%) | 17 (11.3%) | 12 (8.0%) | 6 (4.0%) | 9 (6.0%) | 5 (3.3%) | 2 (1.3%) | 2 (1.3%) | 1 (0.6%) |
Revision Description: | ||||||||||||
All components | 151 | 45 (60%) | 44 (84.6%) | 8 (26.7%) | 27 (100%) | 9 (42.9%) | 0 | 8 (57.1%) | 0 | 6 (100%) | 3 (75%) | 1 (50%) |
PE exchange | 83 | 30 (40%) | 0 | 22 (73.3%) | 0 | 11 (52.4%) | 20 (100%) | 0 | 0 | 0 | 0 | 0 |
Femoral component | 2 | 0 | 2 (3.8%) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tibial component | 5 | 0 | 3 (5.8%) | 0 | 0 | 0 | 0 | 1 (7.1%) | 0 | 0 | 1 (25%) | 0 |
Patellar component | 12 | 0 | 0 | 0 | 0 | 1 (4.8%) | 0 | 3 (21.3%) | 8 (100%) | 0 | 0 | 1 (50%) |
Unknown | 5 | 0 | 3 (5.8%) | 0 | 0 | 0 | 0 | 2 (14.2%) | 0 | 0 | 0 | 0 |