Is previous knee arthroscopy related to worse results in primary total knee arthroplasty?

According to literature, knee arthroscopy is a minimal invasive surgery performed for minor surgical trauma, reduced morbidity and shortens the hospitalization period. Therefore, this type of surgery before total knee arthroplasty (TKA) could be considered a minor procedure with minimum postoperativ...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2009-04, Vol.17 (4), p.328-333
Main Authors: Piedade, Sérgio Rocha, Pinaroli, Alban, Servien, Elvire, Neyret, Philippe
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis
Arthritis
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - methods
Arthroplasty, Replacement, Knee - mortality
Arthroscopy - adverse effects
Arthroscopy - methods
Arthroscopy - mortality
Bioengineering
Body mass index
Cohort Studies
Debridement - adverse effects
Debridement - methods
Debridement - mortality
Evaluation
Failure
Female
Humans
Intraoperative Complications
Joint replacement surgery
Knee
Knee Joint - diagnostic imaging
Knee Joint - surgery
Knees
Life Sciences
Male
Medicine
Medicine & Public Health
Middle Aged
Orthopedics
Pain Measurement
Patella - diagnostic imaging
Patients
Postoperative Complications
Radiography
Range of Motion, Articular
Retrospective Studies
scoring
Sports
Statistical analysis
Surgery
Survival Analysis
Trauma
Treatment Outcome
Young Adult
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Summary:According to literature, knee arthroscopy is a minimal invasive surgery performed for minor surgical trauma, reduced morbidity and shortens the hospitalization period. Therefore, this type of surgery before total knee arthroplasty (TKA) could be considered a minor procedure with minimum postoperative complication. A retrospective and cohort series of 1,474 primary TKA was performed with re-assessment after a minimum follow-up period of 2 years: 1,119 primary TKA had no previous surgery (group A) and 60 primary TKA had arthroscopic debridement (group B). All the patients underwent a clinical and radiological evaluation as well as IKS scores. Statistical analysis of postoperative complications revealed that group B had a higher postoperative complication rate ( P  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-008-0669-9