Factors Associated with the Development of Early Complications After Total Knee Arthroplasty

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2022 Aug 15

PMID 35966430

Authors

Matheus Rizerio Tavares

Savio Diego Ribeiro de Alencar

Samir Peixoto Frazao

Matheus Lemos Azi

David Sadgursky

Daniel Alencar

Affiliations

Soon will be listed here.

Abstract

To diagnose risk factors for the development of local or medical postoperative complications up to 30 days after surgery in patients undergoing total knee arthroplasty The present analysis included all patients who underwent knee arthroplasty performed in this hospital during the study period, based on data from medical records of the patients, with the aim of investigating factors related to the occurrence of local or medical complications during hospitalization and up to 30 days after the procedure, if they needed any additional intervention. Out of the 157 patients included in the study, 17.1% had some complication. The most prevalent were arthrofibrosis (6.4%), deep infection (4.4%), and superficial infection (2.5%), among others. Older patients and a greater number of previous comorbidities were associated with a higher risk of postoperative complications. Older patients and a greater number of comorbidities were related to an increased risk of postoperative complications. The American Society of Anesthesiologists (ASA) score proved to be insufficient to assess the occurrence of complications after knee arthroplasty and new tools should be used for this purpose.

References

Arshi A, Leong N, DOro A, Wang C, Buser Z, Wang J . Outpatient Total Knee Arthroplasty Is Associated with Higher Risk of Perioperative Complications. J Bone Joint Surg Am. 2017; 99(23):1978-1986. DOI: 10.2106/JBJS.16.01332. View

Crawford D, Adams J, Berend K, Lombardi Jr A . Low complication rates in outpatient total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019; 28(5):1458-1464. DOI: 10.1007/s00167-019-05538-8. View

de Araujo Souza G, Ramalho R, Pires E Albuquerque R, Barretto J, Chaves R, de Sousa E . HIGHER RISK OF COMPLICATIONS AFTER TOTAL KNEE ARTHROPLASTY IN OCTOGENARIANS. Acta Ortop Bras. 2020; 28(4):177-181. PMC: 7405842. DOI: 10.1590/1413-785220202804230946. View

Cheuy V, Foran J, Paxton R, Bade M, Zeni J, Stevens-Lapsley J . Arthrofibrosis Associated With Total Knee Arthroplasty. J Arthroplasty. 2017; 32(8):2604-2611. DOI: 10.1016/j.arth.2017.02.005. View

Sarpong N, Boddapati V, Herndon C, Shah R, Cooper H, Geller J . Trends in Length of Stay and 30-Day Complications After Total Knee Arthroplasty: An Analysis From 2006 to 2016. J Arthroplasty. 2019; 34(8):1575-1580. DOI: 10.1016/j.arth.2019.04.027. View

Pecora J, Lima A, Helito C, Gobbi R, Demange M, Camanho G . PROTOCOL FOR TREATING ACUTE INFECTIONS IN CASES OF TOTAL KNEE ARTHROPLASTY. Acta Ortop Bras. 2019; 27(1):27-30. PMC: 6362700. DOI: 10.1590/1413-785220192701134183. View

Feng B, Lin J, Jin J, Qian W, Wang W, Weng X . Thirty-day Postoperative Complications following Primary Total Knee Arthroplasty: A Retrospective Study of Incidence and Risk Factors at a Single Center in China. Chin Med J (Engl). 2017; 130(21):2551-2556. PMC: 5678253. DOI: 10.4103/0366-6999.213071. View

Helito C, Sobrado M, Giglio P, Bonadio M, Pecora J, Demange M . The use of negative-pressure wound therapy after total knee arthroplasty is effective for reducing complications and the need for reintervention. BMC Musculoskelet Disord. 2020; 21(1):490. PMC: 7382854. DOI: 10.1186/s12891-020-03510-z. View

Lehtonen E, Hess M, McGwin Jr G, Shah A, Godoy-Santos A, Naranje S . RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY. Acta Ortop Bras. 2018; 26(5):309-313. PMC: 6220664. DOI: 10.1590/1413-785220182605190790. View

10.

Thompson R, Novikov D, Cizmic Z, Feng J, Fideler K, Sayeed Z . Arthrofibrosis After Total Knee Arthroplasty: Pathophysiology, Diagnosis, and Management. Orthop Clin North Am. 2019; 50(3):269-279. DOI: 10.1016/j.ocl.2019.02.005. View

11.

Bordoni V, Poggi A, Zaffagnini S, Previtali D, Filardo G, Candrian C . Outpatient total knee arthroplasty leads to a higher number of complications: a meta-analysis. J Orthop Surg Res. 2020; 15(1):408. PMC: 7488984. DOI: 10.1186/s13018-020-01925-x. View

12.

Petersson I, Boegard T, Saxne T, Silman A, Svensson B . Radiographic osteoarthritis of the knee classified by the Ahlbäck and Kellgren & Lawrence systems for the tibiofemoral joint in people aged 35-54 years with chronic knee pain. Ann Rheum Dis. 1997; 56(8):493-6. PMC: 1752423. DOI: 10.1136/ard.56.8.493. View

13.

George J, Mahmood B, Sultan A, Sodhi N, Mont M, Higuera C . How Fast Should a Total Knee Arthroplasty Be Performed? An Analysis of 140,199 Surgeries. J Arthroplasty. 2018; 33(8):2616-2622. DOI: 10.1016/j.arth.2018.03.012. View

14.

George J, Piuzzi N, Ng M, Sodhi N, Khlopas A, Mont M . Association Between Body Mass Index and Thirty-Day Complications After Total Knee Arthroplasty. J Arthroplasty. 2017; 33(3):865-871. DOI: 10.1016/j.arth.2017.09.038. View

15.

Frosch P, Decking J, Theis C, Drees P, Schoellner C, Eckardt A . Complications after total knee arthroplasty: a comprehensive report. Acta Orthop Belg. 2005; 70(6):565-9. View

16.

Wagner E, Kamath A, Fruth K, Harmsen W, Berry D . Effect of Body Mass Index on Reoperation and Complications After Total Knee Arthroplasty. J Bone Joint Surg Am. 2016; 98(24):2052-2060. DOI: 10.2106/JBJS.16.00093. View

17.

Basques B, Bell J, Fillingham Y, Khan J, Della Valle C . Gender Differences for Hip and Knee Arthroplasty: Complications and Healthcare Utilization. J Arthroplasty. 2019; 34(8):1593-1597.e1. DOI: 10.1016/j.arth.2019.03.064. View

18.

Pugely A, Callaghan J, Martin C, Cram P, Gao Y . Incidence of and risk factors for 30-day readmission following elective primary total joint arthroplasty: analysis from the ACS-NSQIP. J Arthroplasty. 2013; 28(9):1499-504. DOI: 10.1016/j.arth.2013.06.032. View