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.