Remarks on Some Relevant Recent Reflections about Revision Total Knee Arthroplasty

Document Type : EDITORIAL


Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain


Recently, some interesting articles have been published about revision total knee arthroplasty (RTKA). It is important that these articles are known by orthopedic surgeons dedicated to knee surgery and, in general, by all orthopedic surgeons; therefore, I have considered it necessary to write this editorial. My intention is that with this new knowledge, we can optimize the results for our patients when they undergo RTKA.


Main Subjects

1. Bedard NA, DeMik DE, Dowdle SB, Owens JM, 
Liu SS, Callaghan JJ. Preoperative opioid use and 
its association with early revision of total knee 
arthroplasty. J Arthroplasty. 2018; 33(11):3520-3.
2. Weick J, Bawa H, Dirschl DR, Luu HH. Preoperative 
opioid use is associated with higher readmission and 
revision rates in total knee and total hip arthroplasty. 
J Bone Joint Surg Am 2018; 100(14):1171-6.
3. Gu A, Malahias MA, Cohen JS, Richardson SS, Stake S, 
Blevins JL, et al. Prior knee arthroscopy is associated 
with increased risk of revision after total knee 
arthroplasty. J Arthroplasty. 2020; 35(1):100-4.
4. Rajgopal A, Panda I, Rao A, Dahiya V, Gupta H. 
Does prior failed debridement compromise the 
outcome of subsequent two-stage revision done for 
periprosthetic joint infection following total knee 
arthroplasty? J Arthroplasty. 2018; 33(8):2588-94.
5. Buller LT, Rao V, Chiu YF, Nam D, McLawhorn AS. 
Primary total knee arthroplasty performed using 
high-viscosity cement is associated with higher 
odds of revision for aseptic loosening. J Arthroplasty. 
2020; 35(6):S182-9.
6. Shield III WP, Greenwell PH, Chapman DM, Dalury 
DF. Ignore the patella in revision total knee surgery: 
a minimum 5-year follow-up with patella component 
retention. J Arthroplasty. 2019; 34(7):S262-5.
7. Chalmers BP, Pallante GD, Sierra RJ, Lewallen DG, 
Pagnano MW, Trousdale RT. Contemporary revision 
total knee arthroplasty in patients younger than 
50 years: 1 in 3 risk of re-revision by 10 years. J 
Arthroplasty. 2019; 34(7):S266-70.
8. Charette RS, Sloan M, DeAngelis RD, Lee GC. Higher 
rate of early revision following primary total knee 
arthroplasty in patients under age 55: a cautionary 
tale. J Arthroplasty. 2019; 34(12):2918-24
Volume 10, Issue 3
March 2022
Pages 227-228
  • Receive Date: 22 March 2020
  • Revise Date: 27 February 2022
  • Accept Date: 06 April 2020
  • First Publish Date: 25 November 2021