دورية أكاديمية
Analysis of knee arthroplasty revision causes
العنوان: | Analysis of knee arthroplasty revision causes |
---|---|
المؤلفون: | Mikhail V. Girkalo, Ivan N. Shchanitsyn, Vladimir V. Ostrovskij |
المصدر: | Гений oртопедии, Vol 30, Iss 3, Pp 327-336 (2024) |
بيانات النشر: | Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Orthopedic surgery |
مصطلحات موضوعية: | knee joint, joint replacement, complications, revision arthroplasty, registry, infection, instability, osteolysis, Orthopedic surgery, RD701-811 |
الوصف: | Introduction Existing discrepancies in knee arthroplasty registries regarding the definition of indications for revision TKA lead to confusion related to the identification of the leading pathology. Many works indicate not only one but several reasons for revision which makes comparison difficult. Therefore, the issue of categorizing indications for revision TKA is a weak point of the available registries and of any large retrospective series. Purpose To systematize the etiology of pathological conditions leading to revision knee arthroplasty. Materials and methods The study included 361 revision knee arthroplasties. A comparative analysis of the etiology of complications of primary arthroplasty was carried out with data from national arthroplasty registries and clinical studies. Results The main indications for revision knee arthroplasty were infection in 48.2 % of cases (174/361), aseptic implant instability (osteolysis) in 38.2 % (138/361), and instability of the ligamentous apparatus in 4.2 % (15/361). In 98 cases (27.1 %), only one type of complication was identified, and in 263 (85.2 %) more than one. Infection prevailed among early complications (126/234, 54 %) and aseptic loosening (osteolysis) (69/127, 54 %) predominated among late complications. Discussion In our opinion, the indications for revision arthroplasty can be divided into three main etiological groups: periprosthetic infection (group I); conditions associated with a response to polyethylene wear products (osteolysis) (group 2); and biomechanical disorders, which include spatial malposition, incorrect implant sizes and all types of instability (group 3). Conclusion Our systematization of revision arthroplasty causes can help in further research and will be useful in creating a national registry of arthroplasties in Russia. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English Russian |
تدمد: | 1028-4427 2542-131X |
العلاقة: | https://doaj.org/toc/1028-4427Test; https://doaj.org/toc/2542-131XTest |
DOI: | 10.18019/1028-4427-2024-30-3-327-336 |
الوصول الحر: | https://doaj.org/article/8ec933f56a6c4e6598b7f54672e0317fTest |
رقم الانضمام: | edsdoj.8ec933f56a6c4e6598b7f54672e0317f |
قاعدة البيانات: | Directory of Open Access Journals |
ResultId |
1 |
---|---|
Header |
edsdoj Directory of Open Access Journals edsdoj.8ec933f56a6c4e6598b7f54672e0317f 1080 3 Academic Journal academicJournal 1080.28625488281 |
PLink |
https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsdoj&AN=edsdoj.8ec933f56a6c4e6598b7f54672e0317f&custid=s6537998&authtype=sso |
FullText |
Array
(
[Availability] => 0
)
Array ( [0] => Array ( [Url] => https://doaj.org/article/8ec933f56a6c4e6598b7f54672e0317f [Name] => EDS - DOAJ [Category] => fullText [Text] => View record in DOAJ [MouseOverText] => View record in DOAJ ) ) |
Items |
Array
(
[Name] => Title
[Label] => Title
[Group] => Ti
[Data] => Analysis of knee arthroplasty revision causes
)
Array ( [Name] => Author [Label] => Authors [Group] => Au [Data] => <searchLink fieldCode="AR" term="%22Mikhail+V%2E+Girkalo%22">Mikhail V. Girkalo</searchLink><br /><searchLink fieldCode="AR" term="%22Ivan+N%2E+Shchanitsyn%22">Ivan N. Shchanitsyn</searchLink><br /><searchLink fieldCode="AR" term="%22Vladimir+V%2E+Ostrovskij%22">Vladimir V. Ostrovskij</searchLink> ) Array ( [Name] => TitleSource [Label] => Source [Group] => Src [Data] => Гений oртопедии, Vol 30, Iss 3, Pp 327-336 (2024) ) Array ( [Name] => Publisher [Label] => Publisher Information [Group] => PubInfo [Data] => Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, 2024. ) Array ( [Name] => DatePubCY [Label] => Publication Year [Group] => Date [Data] => 2024 ) Array ( [Name] => Subset [Label] => Collection [Group] => HoldingsInfo [Data] => LCC:Orthopedic surgery ) Array ( [Name] => Subject [Label] => Subject Terms [Group] => Su [Data] => <searchLink fieldCode="DE" term="%22knee+joint%22">knee joint</searchLink><br /><searchLink fieldCode="DE" term="%22joint+replacement%22">joint replacement</searchLink><br /><searchLink fieldCode="DE" term="%22complications%22">complications</searchLink><br /><searchLink fieldCode="DE" term="%22revision+arthroplasty%22">revision arthroplasty</searchLink><br /><searchLink fieldCode="DE" term="%22registry%22">registry</searchLink><br /><searchLink fieldCode="DE" term="%22infection%22">infection</searchLink><br /><searchLink fieldCode="DE" term="%22instability%22">instability</searchLink><br /><searchLink fieldCode="DE" term="%22osteolysis%22">osteolysis</searchLink><br /><searchLink fieldCode="DE" term="%22Orthopedic+surgery%22">Orthopedic surgery</searchLink><br /><searchLink fieldCode="DE" term="%22RD701-811%22">RD701-811</searchLink> ) Array ( [Name] => Abstract [Label] => Description [Group] => Ab [Data] => Introduction Existing discrepancies in knee arthroplasty registries regarding the definition of indications for revision TKA lead to confusion related to the identification of the leading pathology. Many works indicate not only one but several reasons for revision which makes comparison difficult. Therefore, the issue of categorizing indications for revision TKA is a weak point of the available registries and of any large retrospective series. Purpose To systematize the etiology of pathological conditions leading to revision knee arthroplasty. Materials and methods The study included 361 revision knee arthroplasties. A comparative analysis of the etiology of complications of primary arthroplasty was carried out with data from national arthroplasty registries and clinical studies. Results The main indications for revision knee arthroplasty were infection in 48.2 % of cases (174/361), aseptic implant instability (osteolysis) in 38.2 % (138/361), and instability of the ligamentous apparatus in 4.2 % (15/361). In 98 cases (27.1 %), only one type of complication was identified, and in 263 (85.2 %) more than one. Infection prevailed among early complications (126/234, 54 %) and aseptic loosening (osteolysis) (69/127, 54 %) predominated among late complications. Discussion In our opinion, the indications for revision arthroplasty can be divided into three main etiological groups: periprosthetic infection (group I); conditions associated with a response to polyethylene wear products (osteolysis) (group 2); and biomechanical disorders, which include spatial malposition, incorrect implant sizes and all types of instability (group 3). Conclusion Our systematization of revision arthroplasty causes can help in further research and will be useful in creating a national registry of arthroplasties in Russia. ) Array ( [Name] => TypeDocument [Label] => Document Type [Group] => TypDoc [Data] => article ) Array ( [Name] => Format [Label] => File Description [Group] => SrcInfo [Data] => electronic resource ) Array ( [Name] => Language [Label] => Language [Group] => Lang [Data] => English<br />Russian ) Array ( [Name] => ISSN [Label] => ISSN [Group] => ISSN [Data] => 1028-4427<br />2542-131X ) Array ( [Name] => NoteTitleSource [Label] => Relation [Group] => SrcInfo [Data] => https://doaj.org/toc/1028-4427; https://doaj.org/toc/2542-131X ) Array ( [Name] => DOI [Label] => DOI [Group] => ID [Data] => 10.18019/1028-4427-2024-30-3-327-336 ) Array ( [Name] => URL [Label] => Access URL [Group] => URL [Data] => <link linkTarget="URL" linkTerm="https://doaj.org/article/8ec933f56a6c4e6598b7f54672e0317f" linkWindow="_blank">https://doaj.org/article/8ec933f56a6c4e6598b7f54672e0317f</link> ) Array ( [Name] => AN [Label] => Accession Number [Group] => ID [Data] => edsdoj.8ec933f56a6c4e6598b7f54672e0317f ) |
RecordInfo |
Array
(
[BibEntity] => Array
(
[Identifiers] => Array
(
[0] => Array
(
[Type] => doi
[Value] => 10.18019/1028-4427-2024-30-3-327-336
)
)
[Languages] => Array
(
[0] => Array
(
[Text] => English
)
[1] => Array
(
[Text] => Russian
)
)
[PhysicalDescription] => Array
(
[Pagination] => Array
(
[PageCount] => 10
[StartPage] => 327
)
)
[Subjects] => Array
(
[0] => Array
(
[SubjectFull] => knee joint
[Type] => general
)
[1] => Array
(
[SubjectFull] => joint replacement
[Type] => general
)
[2] => Array
(
[SubjectFull] => complications
[Type] => general
)
[3] => Array
(
[SubjectFull] => revision arthroplasty
[Type] => general
)
[4] => Array
(
[SubjectFull] => registry
[Type] => general
)
[5] => Array
(
[SubjectFull] => infection
[Type] => general
)
[6] => Array
(
[SubjectFull] => instability
[Type] => general
)
[7] => Array
(
[SubjectFull] => osteolysis
[Type] => general
)
[8] => Array
(
[SubjectFull] => Orthopedic surgery
[Type] => general
)
[9] => Array
(
[SubjectFull] => RD701-811
[Type] => general
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => Analysis of knee arthroplasty revision causes
[Type] => main
)
)
)
[BibRelationships] => Array
(
[HasContributorRelationships] => Array
(
[0] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Mikhail V. Girkalo
)
)
)
[1] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Ivan N. Shchanitsyn
)
)
)
[2] => Array
(
[PersonEntity] => Array
(
[Name] => Array
(
[NameFull] => Vladimir V. Ostrovskij
)
)
)
)
[IsPartOfRelationships] => Array
(
[0] => Array
(
[BibEntity] => Array
(
[Dates] => Array
(
[0] => Array
(
[D] => 01
[M] => 06
[Type] => published
[Y] => 2024
)
)
[Identifiers] => Array
(
[0] => Array
(
[Type] => issn-print
[Value] => 10284427
)
[1] => Array
(
[Type] => issn-print
[Value] => 2542131X
)
)
[Numbering] => Array
(
[0] => Array
(
[Type] => volume
[Value] => 30
)
[1] => Array
(
[Type] => issue
[Value] => 3
)
)
[Titles] => Array
(
[0] => Array
(
[TitleFull] => Гений oртопедии
[Type] => main
)
)
)
)
)
)
)
|
IllustrationInfo |