J Knee Surg 2020; 33(04): 387-393
DOI: 10.1055/s-0039-1677820
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Impact of Gender on Postoperative Complications after Revision Total Knee Arthroplasty

Alex Gu
1   Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia
,
Chapman Wei
1   Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia
,
Simone A. Bernstein
1   Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia
,
Nam Tran T. Nguyen
2   Department of Biology, St. Bonaventure University, Allegany, New York
,
Shane A. Sobrio
1   Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia
,
Jiabin Liu
3   Department of Anesthesiology, Hospital for Special Surgery, New York, New York
,
Peter K. Sculco
4   Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York
› Author Affiliations
Further Information

Publication History

04 July 2018

16 December 2018

Publication Date:
06 February 2019 (online)

Abstract

Knee osteoarthritis is a common form of arthritis, often treated by total knee arthroplasty (TKA). Complications can arise after TKAs, which may necessitate revision TKAs and further treatments. However, there remains a paucity of literature regarding influence of gender on postoperative complication rates after revision TKA. A retrospective cohort study was conducted using the American College of Surgeons National Surgical Quality Improvement Program database. Patients who received revision TKAs between 2007 and 2014 were identified and recorded as male or female. Univariate and multivariate analysis was used to evaluate the incidence of multiple adverse events within 30 days of revision TKA. This study included 9,914 patients who underwent revision TKA (females = 5,728 [57.8%]; males = 4 186 [42.2%]). Male patients were shown to be at greater risk for developing 7 of 17 complications compared with female patients, and female patients were shown to be at greater risk for urinary tract infection (UTI) development. Multivariate analysis showed males as an independent risk factor for four complications and females as an independent risk factor for UTI development. Male patients were more likely to develop more complications postoperatively than female patients. Although the possibility of developing complications is relatively low, orthopaedic surgeons should be aware of increased postoperative complication rates when counseling patients who undergo revision TKA.

 
  • References

  • 1 Bhatia D, Bejarano T, Novo M. Current interventions in the management of knee osteoarthritis. J Pharm Bioallied Sci 2013; 5 (01) 30-38
  • 2 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (04) 780-785
  • 3 Bhandari M, Smith J, Miller LE, Block JE. Clinical and economic burden of revision knee arthroplasty. Clin Med Insights Arthritis Musculoskelet Disord 2012; 5: 89-94
  • 4 Basques BA, Bell JA, Sershon RA, Della Valle CJ. The influence of patient gender on morbidity following total hip or total knee arthroplasty. J Arthroplasty 2018; 33 (02) 345-349
  • 5 Lee MJ, Bazaz R, Furey CG, Yoo J. Risk factors for dysphagia after anterior cervical spine surgery: a two-year prospective cohort study. Spine J 2007; 7 (02) 141-147
  • 6 Singh K, Marquez-Lara A, Nandyala SV, Patel AA, Fineberg SJ. Incidence and risk factors for dysphagia after anterior cervical fusion. Spine 2013; 38 (21) 1820-1825
  • 7 Bohl DD, Ahn J, Rossi VJ, Tabaraee E, Grauer JN, Singh K. Incidence and risk factors for pneumonia following anterior cervical decompression and fusion procedures: an ACS-NSQIP study. Spine J 2016; 16 (03) 335-342
  • 8 Radhakrishnan K, Litchy WJ, O'Fallon WM, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994; 117 (Pt 2): 325-335
  • 9 Basques BA, Hiji FY, Khechen B. , et al. Sex differences for anterior cervical fusion: complications and length of stay. Spine 2018; 43 (15) 1025-1030
  • 10 Badawy M, Espehaug B, Fenstad AM. , et al. Patient and surgical factors affecting procedure duration and revision risk due to deep infection in primary total knee arthroplasty. BMC Musculoskelet Disord 2017; 18 (01) 544