Are there avoidable causes of early revision total knee arthroplasty?

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Abstract

Conflict of interest statement: The authors declare that they have no competing interests. 15. Orthop Traumatol Surg Res. 2021 May;107(3):102875. doi: 10.1016/j.otsr.2021.102875. Epub 2021 Feb 27. Complications and failures of non-tumoral hinged total knee arthroplasty in primary and aseptic revision surgery: A review of 290 cases. Caron É(1), Gabrion A(2), Ehlinger M(3), Verdier N(4), Rubens-Duval B(5), Neri T(6), Martz P(7), Putman S(8), Pasquier G(8); French society of orthopedic surgery and traumatology (SOFCOT)(9). Author information: (1)Université Lille Nord de France, 59000 Lille, France; Service de chirurgie orthopédique II, Hôpital Roger-Salengro, CHU Lille, place de Verdun, 59037 Lille, France. Electronic address: etienne.caron59@hotmail.fr. (2)Service de chirurgie orthopédique, Hôpital Sud, CHU Amiens-Picardie, 80054 Amiens, France. (3)Service de chirurgie orthopédique et de traumatologie, Hôpital de Hautepierre, Hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France. (4)Clinique Jean-Villar, avenue Maryse-Bastié, 33520 Bruges, France. (5)Service de chirurgie de l'arthrose et du sport, Urgences traumatiques des membres, Hôpital sud, CHU Grenoble Alpes, CS 90338, 38434 Échirolles, France. (6)Service de chirurgie orthopédique, Hôpital Nord, CHU Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest-en Jarez, France. (7)Service de chirurgie orthopédique et traumatologique adulte, CHU Dijon-Bourgogne, 14, rue Paul-Gaffarel, 21079 Dijon, France. (8)Université Lille Nord de France, 59000 Lille, France; Service de chirurgie orthopédique II, Hôpital Roger-Salengro, CHU Lille, place de Verdun, 59037 Lille, France. (9)56, rue Boissonade, 75014 Paris, France. INTRODUCTION: Hinged total knee arthroplasty (TKA) implants are a commonly used option during revision or even primary surgery, but their complications are not as well known, due to the rapid adoption of gliding implants. The literature is inconsistent on this topic, with studies having a small sample size, varied follow-up duration and very different indications. This led us to carry out a large multicentre study with a minimum follow-up of 5 years to evaluate the complications after hinged TKA in a non-tumoral context based on the indications of primary arthroplasty, aseptic surgical revision or fracture treatment around the knee. HYPOTHESIS: Hinged TKA was associated with a high complication rate, no matter the indication. MATERIAL AND METHODS: Two hundred and ninety patients (290 knees) were included retrospectively between January 2006 and December 2011 at 17 sites, with a minimum follow-up of 5 years. The patients were separated into three groups: primary surgery (111 patients), aseptic revision surgery (127 patients) and surgery following a recent (