Table 4 Medical and surgical complications including need for revision following total joint arthroplasty among patients with functional somatic syndromes

Cregar, 2021 [39]

Lysis of adhesion (LOA) within 1 year post-operatively

OR: 1.10 (0.87–1.39) for FM vs. controls (Medicare database)

OR: 1.30 (1.01–1.70)^a for FM vs. controls (Humana database)

Incidence of revision TKA w/in 2 years of index TKA

OR: 1.19 (1.06–1.34)^a for FM vs controls (Medicare database)

OR: 1.19 (0.93–1.52)^a for FM vs controls (Humana database)

D'Apuzzo, 2012 [40]

Incidence of postoperative surgical complications

FM: 13 (9%) arthrofibrosis; 12 (9%) instability; 5 (4%) wound problems; 1 (< 1%) periprosthetic fracture; 1 (< 1%) quad tendon rupture

Revision rate

FM: 6%

Moore, 2019 [30]

Likelihood of developing any medical complication

OR = 1.95 (1.86–2.04)^a for FM vs controls

Sodhi, 2019 [34]

Any surgical complication

FM: 14,416^a Control: 9,595^a OR = 1.55 (1.51–1.60)^a

Articular bearing surface wear of prosthetic joint

FM: 95^a Control: 45^a OR = 2.11 (1.51–1.60)^a

Periprosthetic osteolysis

FM: 53^a Control: 31^a OR = 1.71 (1.10–2.66)^a

Revision of total knee replacement tibial insert (liner)

FM: 113^a Control: 74^a OR = 1.5 (1.14–2.05)^a

Revision of knee replacement total (all components)

FM: 45 Control: 33 OR = 1.36 (0.87–2.14)

Mechanical loosening of prosthetic joint

FM: 957^a Control: 692^a OR = 1.34 (1.26–1.53)^a

Infection/inflammation

FM: 957^a Control: 692^a OR = 1.34 (1.26–1.53)^a

Dislocation of prosthetic joint

FM: 919^a Control: 691^a OR = 1.33 (1.21–1.47)^a

Periprosthetic fracture around prosthetic joint

FM: 344 Control: 295 OR = 1.17 (0.99–1.36)

Revision of knee replacement tibial component

FM: 35 Control: 30 OR = 1.17 (0.72–1.90)

Removal of (cement) spacer

FM: 28 Control: 26 OR = 1.08 (0.63–1.84)

Broken prosthetic joint implant

FM: 259 Control: 262 OR = 1 (0.83–1.17)

Revision of knee replacement patellar component

FM: 26 Control: 37 OR = 0.7 (0.43–1.16)

Revision of knee replacement not otherwise specified

FM: 35 Control: 50 OR = 0.7 (0.45–1.08)

Revision of knee replacement femoral component

too few to identify

Other

FM: 8329^a Control: 4907^a OR = 1.74 (1.68–1.80)^a