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J Knee Surg 2022; 35(11): 1223-1228
DOI: 10.1055/s-0040-1722662
Original Article

Knee Arthroscopy Prior to Revision TKA Is Associated with Increased Re-Revision for Stiffness

Ruben Oganesyan
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Christian Klemt
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
John Esposito
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Venkatsaiakhil Tirumala
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Liang Xiong
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
,
Young-Min Kwon
1   Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Abstract

This is an experimental study. As knee arthroscopy may be used as a suitable temporizing alternative prior to revision surgery, knee arthroscopy potentially may be a risk factor for subsequent adverse outcomes after revision total knee arthroplasty (TKA). This study aimed to evaluate the impact of prior knee arthroscopy on outcomes of subsequent TKA revision surgery. We identified 1,689 consecutive patients who underwent revision TKA: (1) patients with no prior knee arthroscopy (n = 1,549) and (2) patients with knee arthroscopy prior to revision TKA (n = 140). A control group of matched revision TKA patients who did not undergo prior knee arthroscopy was identified (700 patients), using one-to-five matching. Matched patients with prior knee arthroscopy demonstrated an increased likelihood of requiring re-revision (odds ratio [OR], 2.06, p < 0.001), particularly for stiffness (OR, 2.72, p < 0.02) compared with patients who underwent revision TKA without prior knee arthroscopy. Knee arthroscopy demonstrated a time-dependent impact on revision TKA outcomes, with an increased likelihood of requiring re-revision for patients who underwent knee arthroscopy within 6 months prior to revision TKA compared with patients who underwent knee arthroscopy within 6 to 12 months prior to revision TKA (OR, 3.16, p < 0.04). This cohort matched study shows that patients who had prior knee arthroscopy demonstrated a significantly higher likelihood of requiring re-revision compared with patients who underwent revision TKA without prior knee arthroscopy. Additionally, there was a significant increased likelihood in requiring re-revision for patients who had prior knee arthroscopy within 6 months. This provides clinically useful information for counseling of patients who are considering temporizing their symptoms with knee arthroscopy prior to revision TKA.

Keywords

knee arthroscopy - arthrofibrosis - revision - range of motion


Publication History

Received: 20 July 2020

Accepted: 29 November 2020

Article published online:
28 January 2021

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  • References

  • 1 Viste A, Abdel MP, Ollivier M, Mara KC, Krych AJ, Berry DJ. Prior knee arthroscopy does not influence long-term total knee arthroplasty outcomes and survivorship. J Arthroplasty 2017; 32 (12) 3626-3631
    CrossrefPubMedGoogle Scholar
  • 2 Gu A, Malahias M-A, Cohen JS. et al. Prior knee arthroscopy is associated with increased risk of revision after total knee arthroplasty. J Arthroplasty 2020; 35 (01) 100-104
    CrossrefPubMedGoogle Scholar
  • 3 Kim S, Bosque J, Meehan JP, Jamali A, Marder R. Increase in outpatient knee arthroscopy in the United States: a comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg Am 2011; 93 (11) 994-1000
    CrossrefPubMedGoogle Scholar
  • 4 Hutchinson JRM, Parish EN, Cross MJ. Results of open arthrolysis for the treatment of stiffness after total knee replacement. J Bone Joint Surg Br 2005; 87 (10) 1357-1360
    CrossrefPubMedGoogle Scholar
  • 5 Wells VM, Hearn TC, McCaul KA, Anderton SM, Wigg AER, Graves SE. Changing incidence of primary total hip arthroplasty and total knee arthroplasty for primary osteoarthritis. J Arthroplasty 2002; 17 (03) 267-273
    CrossrefPubMedGoogle Scholar
  • 6 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
    CrossrefPubMedGoogle Scholar
  • 7 Barton SB, McLauchlan GJ, Canty SJ. The incidence and impact of arthroscopy in the year prior to total knee arthroplasty. Knee 2017; 24 (02) 396-401
    CrossrefPubMedGoogle Scholar
  • 8 Piedade SR, Pinaroli A, Servien E, Neyret P. Is previous knee arthroscopy related to worse results in primary total knee arthroplasty?. Knee Surg Sports Traumatol Arthrosc 2009; 17 (04) 328-333
    CrossrefPubMedGoogle Scholar
  • 9 Issa K, Naziri Q, Johnson AJ, Pivec R, Bonutti PM, Mont MA. TKA results are not compromised by previous arthroscopic procedures. J Knee Surg 2012; 25 (02) 161-164
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Wong JWK, Yau PWP, Chiu PKY. Arthroscopic treatment of patellar symptoms in posterior stabilized total knee replacement. Int Orthop 2002; 26 (04) 250-252
    CrossrefPubMedGoogle Scholar
  • 11 Koh Y-G, Kim S-J, Chun Y-M, Kim Y-C, Park Y-S. Arthroscopic treatment of patellofemoral soft tissue impingement after posterior stabilized total knee arthroplasty. Knee 2008; 15 (01) 36-39
    CrossrefPubMedGoogle Scholar
  • 12 Amouzandeh G, Mentink-Vigier F, Helsper S, Bagdasarian FA, Rosenberg JT, Grant SC. Magnetic resonance electrical property mapping at 21.1 T: a study of conductivity and permittivity in phantoms, ex vivo tissue and in vivo ischemia. Phys Med Biol 2020; 65 (05) 055007
    CrossrefPubMedGoogle Scholar
  • 13 Werner BC, Burrus MT, Novicoff WM, Browne JA. Total knee arthroplasty within six months after knee arthroscopy is associated with increased postoperative complications. J Arthroplasty 2015; 30 (08) 1313-1316
    CrossrefPubMedGoogle Scholar
  • 14 Choi WC, Ryu K-J, Lee S, Seong SC, Lee MC. Painful patellar clunk or crepitation of contemporary knee prostheses. Clin Orthop Relat Res 2013; 471 (05) 1512-1522
    CrossrefPubMedGoogle Scholar
  • 15 Klemt C, Tirumala V, Oganesyan R, Xiong L, van den Kieboom J, Kwon YM. Single-stage revision of the infected total knee arthroplasty is associated with improved functional outcomes: a propensity score matched cohort study. J Arthroplasty 2021; 36 (01) 298-304
    CrossrefPubMedGoogle Scholar
  • 16 Fan Y, Xiao Y, Sabuhi WA. et al. Longitudinal model of periprosthetic joint infection in the rat. J Orthop Res 2020; 38 (05) 1101-1112
    CrossrefPubMedGoogle Scholar
  • 17 Mehrani A, Ahmadvand P, Mehdizadeh Barforushi M, Mehrani K. Double functionalized nanoporous magnetic gadolinium–silica composite for doxorubicin delivery. J Inorg Organomet Polym Mater 2016; 26 (01) 226-232
    CrossrefPubMedGoogle Scholar
  • 18 Brophy RH, Gray BL, Nunley RM, Barrack RL, Clohisy JC. Total knee arthroplasty after previous knee surgery: expected interval and the effect on patient age. J Bone Joint Surg Am 2014; 96 (10) 801-805
    CrossrefPubMedGoogle Scholar
  • 19 Newman ET, Herschmiller TA, Attarian DE, Vail TP, Bolognesi MP, Wellman SS. Risk factors, outcomes, and timing of manipulation under anesthesia after total knee arthroplasty. J Arthroplasty 2018; 33 (01) 245-249
    CrossrefPubMedGoogle Scholar
  • 20 Vovos TJ, Lazarides AL, Ryan SP, Kildow BJ, Wellman SS, Seyler TM. Prior hip arthroscopy increases risk for perioperative total hip arthroplasty complications: a matched-controlled study. J Arthroplasty 2019; 34 (08) 1707-1710
    CrossrefPubMedGoogle Scholar
  • 21 Raab GE, Jobe CM, Williams PA, Dai QG. Damage to cobalt-chromium surfaces during arthroscopy of total knee replacements. J Bone Joint Surg Am 2001; 83 (01) 46-52
    CrossrefPubMedGoogle Scholar
  • 22 Liu C-W, Kuo C-L, Chuang S-Y. et al. Results of infected total knee arthroplasty treated with arthroscopic debridement and continuous antibiotic irrigation system. Indian J Orthop 2013; 47 (01) 93-97
    CrossrefPubMedGoogle Scholar
  • 23 Chen W, Klemt C, Padmanabha A, Tirumala V, Xiong L, Kwon Y-M. Outcome and risk factors associated with failures of isolated bearing exchange for osteolysis in well-fixed cementless total hip arthroplasty. J Arthroplasty 2020:S0883-5403(20)30670-7
    PubMedGoogle Scholar