Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty

Robert L. Barrack; C. Lowry Barnes; R. Stephen J. Burnett; Derek Miller; John C. Clohisy; William J. Maloney

doi:10.1016/j.arth.2009.02.004

Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty

Robert L. Barrack, C. Lowry Barnes, R. Stephen J. Burnett, Derek Miller, John C. Clohisy, William J. Maloney

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45 Scopus citations

Abstract

A consecutive series of revision total knee arthroplasty (TKA) performed at 3 centers by 5 surgeons for a 3-year period was reviewed. Revisions performed for infection and rerevisions were excluded. Review of clinical and radiographic data determined incision type, sex, age, time to revision, and primary diagnosis at time of revision. Two-hundred thirty-seven first-time revision TKAs were performed, of which 44 (18.6%) had been a minimal incision surgery (MIS) primary TKA and 193 (81.4%) had been a standard primary TKA. Patients with MIS were younger (62.1 vs 66.2 years, P = .02). Most striking was the difference in time to revision, which was significantly shorter for the MIS group (14.8 vs 80 months, P < .001). Minimal incision surgery TKA accounted for a substantial percentage of revision TKA in recent years at these centers. The high prevalence of MIS failures occurring within 24 months is disturbing and warrants further investigation.

Original language	English
Pages (from-to)	489-498
Number of pages	10
Journal	Journal of Arthroplasty
Volume	24
Issue number	4
DOIs	https://doi.org/10.1016/j.arth.2009.02.004
State	Published - Jun 2009

Keywords

MIS
early failure
revision
total knee arthroplasty

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10.1016/j.arth.2009.02.004

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title = "Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty",

abstract = "A consecutive series of revision total knee arthroplasty (TKA) performed at 3 centers by 5 surgeons for a 3-year period was reviewed. Revisions performed for infection and rerevisions were excluded. Review of clinical and radiographic data determined incision type, sex, age, time to revision, and primary diagnosis at time of revision. Two-hundred thirty-seven first-time revision TKAs were performed, of which 44 (18.6%) had been a minimal incision surgery (MIS) primary TKA and 193 (81.4%) had been a standard primary TKA. Patients with MIS were younger (62.1 vs 66.2 years, P = .02). Most striking was the difference in time to revision, which was significantly shorter for the MIS group (14.8 vs 80 months, P < .001). Minimal incision surgery TKA accounted for a substantial percentage of revision TKA in recent years at these centers. The high prevalence of MIS failures occurring within 24 months is disturbing and warrants further investigation.",

keywords = "MIS, early failure, revision, total knee arthroplasty",

author = "Barrack, {Robert L.} and Barnes, {C. Lowry} and Burnett, {R. Stephen J.} and Derek Miller and Clohisy, {John C.} and Maloney, {William J.}",

year = "2009",

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doi = "10.1016/j.arth.2009.02.004",

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T1 - Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty

AU - Barrack, Robert L.

AU - Barnes, C. Lowry

AU - Burnett, R. Stephen J.

AU - Miller, Derek

AU - Clohisy, John C.

AU - Maloney, William J.

PY - 2009/6

Y1 - 2009/6

N2 - A consecutive series of revision total knee arthroplasty (TKA) performed at 3 centers by 5 surgeons for a 3-year period was reviewed. Revisions performed for infection and rerevisions were excluded. Review of clinical and radiographic data determined incision type, sex, age, time to revision, and primary diagnosis at time of revision. Two-hundred thirty-seven first-time revision TKAs were performed, of which 44 (18.6%) had been a minimal incision surgery (MIS) primary TKA and 193 (81.4%) had been a standard primary TKA. Patients with MIS were younger (62.1 vs 66.2 years, P = .02). Most striking was the difference in time to revision, which was significantly shorter for the MIS group (14.8 vs 80 months, P < .001). Minimal incision surgery TKA accounted for a substantial percentage of revision TKA in recent years at these centers. The high prevalence of MIS failures occurring within 24 months is disturbing and warrants further investigation.

AB - A consecutive series of revision total knee arthroplasty (TKA) performed at 3 centers by 5 surgeons for a 3-year period was reviewed. Revisions performed for infection and rerevisions were excluded. Review of clinical and radiographic data determined incision type, sex, age, time to revision, and primary diagnosis at time of revision. Two-hundred thirty-seven first-time revision TKAs were performed, of which 44 (18.6%) had been a minimal incision surgery (MIS) primary TKA and 193 (81.4%) had been a standard primary TKA. Patients with MIS were younger (62.1 vs 66.2 years, P = .02). Most striking was the difference in time to revision, which was significantly shorter for the MIS group (14.8 vs 80 months, P < .001). Minimal incision surgery TKA accounted for a substantial percentage of revision TKA in recent years at these centers. The high prevalence of MIS failures occurring within 24 months is disturbing and warrants further investigation.

KW - MIS

KW - early failure

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ER -

Minimal Incision Surgery as a Risk Factor for Early Failure of Total Knee Arthroplasty

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Keywords

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