Total Knee Arthroplasty Complications
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https://doi.org/10.5281/zenodo.10722045Keywords:
Knee Prosthesis, Total Knee Replacement, ComplicationsAbstract
(TKA) and to evaluate the clinical and radiological outcomes of TKA patients.
Methods: A total of 376 knees from 319 patients who underwent Total Knee Arthroplasty (TKA) at our hospital were included in the study. The patients' medical histories, preoperative examination findings, X-rays, laboratory data, surgical informations, postoperative follow-up period, complications, and postoperative antero-posterior and lateral radiographs were evaluated. Preoperative and postoperative varus-valgus alignment angles, postoperative alpha, beta, gamma, sigma and omega angles were measured on the radiographs. The patients were evaluated using the Knee Society Score (KSS) for the clinical and radiological evaluation of knee arthroplasty.
Results: The mean age of the patients was 67.7 (35-87) and 252 (79%) were women. Mean follow-up duration was 32.6 months (4-92). Both the KSS knee score and the function score significantly improved after surgery (p < 0.0001). The mean preoperative range of motion was 108.3° (70-135°), and the mean postoperative range of motion was 113.2° (70-140°) (p=0.014). Early infection was the most common complication (3.4%). Other complications included chronic infection (1.2%), wound complications (1.5%), peroneal nerve injury (0.6%), infrapatellar branch of the saphenous nerve neuroma (0.3%), deep vein thrombosis (1.5%), extensor mechanism complications (0.6%), limited range of motion (0.6%), aseptic loosening (0.6%), and supracondylar femoral fracture (0.3%). Radiographic measurements showed that most patients achieved proper alignment.
Conclusion: Total knee arthroplasty (TKA) is an effective treatment method for pain and functional impairment. The most common complication of TKA is early infection. In most cases of early infection, there was no evidence of bacterial growth. We found that the second most common complication was deep vein thrombosis (DVT). In order to reduce these complications, further research is needed to improve infection prevention strategies and perioperative care.
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