Complications of total knee arthroplasty and the development of late deep infection in patients with rheumatoid arthritis

Authors : Alikemal YAZICI

Pages : 540-545

Doi:10.32322/jhsm.1244085

View : 29 | Download : 13

Publication Date : 2023-03-27

Article Type : Research Paper

Abstract :Aim: This study aimed to assess complications and the presence of late deep infection in patients with rheumatoid arthritis insert ignore into journalissuearticles values(RA); who underwent primary and revision total knee arthroplasty insert ignore into journalissuearticles values(TKA);. Materıial and Method: Between June 1997 and October 2022, cemented TKA that cut the posterior cruciate ligament insert ignore into journalissuearticles values(PCL); was applied to 50 knees of 34 patients with RA, and posterior-stabilized insert ignore into journalissuearticles values(PS); revision TKA was applied to 7 knees of 5 patients. All the patients enclosed in this study were adults diagnosed with RA by a rheumatology or physical therapy physician according to the RA diagnostic criteria recommended by the American College of Rheumatology in 1987. The diagnosis of infection was based on the Periprosthetic Infection Diagnostic Criteria of the 2018 International Periprosthetic Joint Infections Consensus Meeting. Results: Complications were found in 9 insert ignore into journalissuearticles values(18%); of the 50 knees who underwent primary TKA. Postoperative serous discharge was observed in 3 insert ignore into journalissuearticles values(6%); knees, serous discharge and late partial rupture of the quadriceps tendon in 1 insert ignore into journalissuearticles values(2%);, early deep infection in 1 insert ignore into journalissuearticles values(2%);, late deep infection in 3 insert ignore into journalissuearticles values(6%);, and hematoma in 1 insert ignore into journalissuearticles values(2%);. Revision surgery was performed on 3 insert ignore into journalissuearticles values(6%); knees due to infection and on 4 insert ignore into journalissuearticles values(8%); knees due to aseptic loosening. Complications developed in 2 of these knees who underwent revision TKA, 1 insert ignore into journalissuearticles values(14.3%); knee with periprosthetic fracture in the femur in the first postoperative year, and 1 insert ignore into journalissuearticles values(14.3%); knee with early deep infection. Deep vein thrombosis insert ignore into journalissuearticles values(DVT);, pulmonary emboli insert ignore into journalissuearticles values(PE); and heterotopic ossification insert ignore into journalissuearticles values(HO); were not observed in any patient. Conclusion: In patients with rheumatoid arthritis, total knee arthroplasty increased chronic late deep infection and the associated need for revision surgery, and decreased the rates of DVT, PE, HO.
Keywords : Rheumatoid arthritis, total knee arthroplasty, complications