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Total knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis.

TitelTotal knee arthroplasty has higher postoperative morbidity than unicompartmental knee arthroplasty: a multicenter analysis.
Publication TypeJournal Article
Year of Publication2012
AuthorsBrown, NM, Sheth, NP, Davis, K, Berend, ME, Lombardi, AV, Berend, KR, Della Valle, CJ
JournalThe Journal of arthroplasty
Volume27
Issue8 Suppl
Pagination86-90
Date Published2012 Sep
ISSN1532-8406
SchlüsselwörterKniearthrose, Knieprothese, UKEP
Abstract A total of 2235 primary total knee arthroplasties (TKAs) and 605 unicompartmental knee arthroplasties performed at 3 institutions over 5 years were reviewed to compare the incidence of postoperative complications between these groups. The overall risk of complications for patients undergoing TKA was 11.0%, compared with 4.3% for patients undergoing unicompartmental knee arthroplasty (P < .0001). Total knee arthroplasty was associated with increased rates of manipulation (odds ratio [OR], 13.0; P < .0001), transfusion (OR, 8.5; P = .036), intensive care unit admission (OR, 7.4; P = .049), discharge to a rehabilitation facility (OR, 5.2; P < .0001) and had longer hospital stays (mean, 3.3 vs 2.0 days; P < .0001). There was a trend toward an increased risk of deep infection (0.8% vs 0.2%, P = .13), readmission (4.2% vs 2.7%, P = .0795), thromboembolic events (1.0% vs 0.64%, P = .398), and any reoperation (1.4% vs 0.6%; P = .064). The increased risk of perioperative complications after TKA should be considered when counseling patients if they are an appropriate candidate for either procedure.
DOI10.1016/j.arth.2012.03.022
Alternate JournalJ Arthroplasty
PubMed ID22560653
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Orthopädische Gelenk-Klinik
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