Total Knee Arthroplasty for Treatment of Post-traumatic Arthritis: Systematic Review

Overview

Journal World J Orthop

Publisher Baishideng Publishing Group

Specialty Orthopedics

Date 2016 Sep 28

PMID 27672572

Citations 17

Authors

Hesham Saleh

Stephen Yu

Jonathan Vigdorchik

Ran Schwarzkopf

Affiliations

Soon will be listed here.

Abstract

Aim: To review and report functional outcomes, complications, and survivorship associated with total knee arthroplasty (TKA) in the treatment of post-traumatic arthritis (PTA).

Methods: We conducted a systematic review according to the PRISMA guidelines. We searched PubMed, Cochrane Library, and SCOPUS in December 2015 for English-language clinical research studies, both prospective and retrospective, examining the use of TKA for the treatment of PTA. All relevant articles were accessed in full. The manual search included references of retrieved articles. We extracted data on patients' demographics and clinical outcomes, including preoperative diagnosis and pre- and post-operative functional scores. We summarized the data and reported the results in tables and text.

Results: Sixteen studies, four prospective and ten retrospective, examined patients who underwent TKA for PTA due to fractures of the proximal tibia, patella, and/or distal femur. Eleven studies utilized the Knee Society Scores criteria to assess functional outcomes. All studies utilizing these criteria reported an improvement in functional and knee scores of patients following TKA. Further, studies reported an increased range of motion (ROM) and reduction of pain following surgery. The most commonly reported complications with TKA included infection, stiffness, wound complications, intraoperative rupture of tendons, and osteolysis/polyethylene wear. The overwhelming majority of these complications occurred within the first two years following surgery. Six studies examined the survivorship of TKA with subsequent revision for any reason as an endpoint. Compared to patients with osteoarthritis, patients with PTA required more revisions, the majority for polyethylene wear.

Conclusion: Although associated with higher complication rates, TKA is an effective treatment for PTA, as it improves ROM, pain and functional outcomes.

Citing Articles

Utilizing Evolved Extramedullary Techniques for Conventional Knee Arthroplasty in Post-traumatic Knee Arthritis With Retained Hardware: A Retrospective Analysis.

Chang C, Tseng Y, Chen Y, Yang C Cureus. 2025; 17(2):e79402.

PMID: 39995591 PMC: 11847752. DOI: 10.7759/cureus.79402.

NUMB attenuates posttraumatic osteoarthritis by inhibiting BTRC and inactivating the NF-κB pathway.

Lv Z, Ding Y, Zhang W J Orthop Surg Res. 2024; 19(1):502.

PMID: 39175086 PMC: 11342479. DOI: 10.1186/s13018-024-04967-7.

Advances in Understanding and Managing Floating Knee Injuries: A Comprehensive Review.

Yadav S, Rawal G Cureus. 2024; 16(3):e57122.

PMID: 38681444 PMC: 11055540. DOI: 10.7759/cureus.57122.

Increased risk of periprosthetic joint infection after traumatic injury in joint revision patients.

Li H, Zheng Q, Niu E, Xu J, Chai W, Xu C Arthroplasty. 2024; 6(1):8.

PMID: 38311788 PMC: 10840204. DOI: 10.1186/s42836-024-00235-5.

Management of Lateral Femoral Condyle Non-union with Autogenous Bone Graft in CAS Total Knee Arthroplasty.

Jhurani A, Agarwal P, Sahni H, Krishnamurthy K J Orthop Case Rep. 2024; 13(12):115-120.

PMID: 38162343 PMC: 10753691. DOI: 10.13107/jocr.2023.v13.i12.4100.

References

Massin P, Bonnin M, Paratte S, Vargas R, Piriou P, Deschamps G . Total knee replacement in post-traumatic arthritic knees with limitation of flexion. Orthop Traumatol Surg Res. 2010; 97(1):28-33. DOI: 10.1016/j.otsr.2010.06.016. View

Piedade S, Pinaroli A, Servien E, Neyret P . TKA outcomes after prior bone and soft tissue knee surgery. Knee Surg Sports Traumatol Arthrosc. 2012; 21(12):2737-43. DOI: 10.1007/s00167-012-2139-7. View

Pickering R . Posttraumatic arthritis. Can Fam Physician. 2011; 30:1511-3. PMC: 2153565. View

Civinini R, Carulli C, Matassi F, Villano M, Innocenti M . Total knee arthroplasty after complex tibial plateau fractures. Chir Organi Mov. 2009; 93(3):143-7. DOI: 10.1007/s12306-009-0033-3. View

Weiss N, Parvizi J, Hanssen A, Trousdale R, Lewallen D . Total knee arthroplasty in post-traumatic arthrosis of the knee. J Arthroplasty. 2003; 18(3 Suppl 1):23-6. DOI: 10.1054/arth.2003.50068. View

Lunebourg A, Parratte S, Gay A, Ollivier M, Garcia-Parra K, Argenson J . Lower function, quality of life, and survival rate after total knee arthroplasty for posttraumatic arthritis than for primary arthritis. Acta Orthop. 2014; 86(2):189-94. PMC: 4404769. DOI: 10.3109/17453674.2014.979723. View

Papadopoulos E, Parvizi J, Lai C, Lewallen D . Total knee arthroplasty following prior distal femoral fracture. Knee. 2002; 9(4):267-74. DOI: 10.1016/s0968-0160(02)00046-7. View

Benazzo F, Rossi S, Ghiara M, Zanardi A, Perticarini L, Combi A . Total knee replacement in acute and chronic traumatic events. Injury. 2014; 45 Suppl 6:S98-S104. DOI: 10.1016/j.injury.2014.10.031. View

Lotke P, Ecker M . Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am. 1977; 59(1):77-9. View

10.

Anderson D, Marsh J, Brown T . The pathomechanical etiology of post-traumatic osteoarthritis following intraarticular fractures. Iowa Orthop J. 2011; 31:1-20. PMC: 3215107. View

11.

Suzuki G, Saito S, Ishii T, Motojima S, Tokuhashi Y, Ryu J . Previous fracture surgery is a major risk factor of infection after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2011; 19(12):2040-4. DOI: 10.1007/s00167-011-1525-x. View

12.

Parratte S, Boyer P, Piriou P, Argenson J, Deschamps G, Massin P . Total knee replacement following intra-articular malunion. Orthop Traumatol Surg Res. 2011; 97(6 Suppl):S118-23. DOI: 10.1016/j.otsr.2011.07.001. View

13.

Bala A, Penrose C, Seyler T, Mather 3rd R, Wellman S, Bolognesi M . Outcomes after Total Knee Arthroplasty for post-traumatic arthritis. Knee. 2015; 22(6):630-9. DOI: 10.1016/j.knee.2015.10.004. View

14.

Deschamps G, Khiami F, Catonne Y, Chol C, Bussiere C, Massin P . Total knee arthroplasty for osteoarthritis secondary to extra-articular malunions. Orthop Traumatol Surg Res. 2010; 96(8):849-55. DOI: 10.1016/j.otsr.2010.06.010. View

15.

Stiehl J, Hamelynck K, Voorhorst P . International multi-centre survivorship analysis of mobile bearing total knee arthroplasty. Int Orthop. 2006; 30(3):190-9. PMC: 2532087. DOI: 10.1007/s00264-005-0053-z. View

16.

Lizaur-Utrilla A, Collados-Maestre I, Miralles-Munoz F, Lopez-Prats F . Total Knee Arthroplasty for Osteoarthritis Secondary to Fracture of the Tibial Plateau. A Prospective Matched Cohort Study. J Arthroplasty. 2015; 30(8):1328-32. DOI: 10.1016/j.arth.2015.02.032. View

17.

Shearer D, Chow V, Bozic K, Liu J, Ries M . The predictors of outcome in total knee arthroplasty for post-traumatic arthritis. Knee. 2013; 20(6):432-6. DOI: 10.1016/j.knee.2012.12.010. View

18.

Wu L, Xiong Y, Yan S, Yang Q . Total knee replacement for posttraumatic degenerative arthritis of the knee. Chin J Traumatol. 2005; 8(4):195-9. View

19.

Abdel M, von Roth P, Cross W, Berry D, Trousdale R, Lewallen D . Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years. J Arthroplasty. 2015; 30(12):2170-2. DOI: 10.1016/j.arth.2015.06.032. View

20.

Brown T, Johnston R, Saltzman C, Marsh J, Buckwalter J . Posttraumatic osteoarthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma. 2006; 20(10):739-44. DOI: 10.1097/01.bot.0000246468.80635.ef. View