There is no difference in postoperative pain, function and complications in patients with chondrocalcinosis in the outco
- PDF / 612,694 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 68 Downloads / 150 Views
KNEE
There is no difference in postoperative pain, function and complications in patients with chondrocalcinosis in the outcome of total knee arthroplasty for end‑stage osteoarthritis Jore H. Willems1 · Rachid Rassir1 · Inger N. Sierevelt1 · Peter A. Nolte1 Received: 2 February 2019 / Accepted: 16 September 2019 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2019
Abstract Purpose Chondrocalcinosis is the radiographic appearance of calcium crystals in cartilage and other soft tissue. It is suggested that preoperative chondrocalcinosis predicts a worse outcome after total knee arthroplasty and it is unclear if chondrocalcinosis leads to more postoperative complications. This study aimed to compare function, pain, postoperative complications, postoperative signs of acute arthritis and revision rates between patients with and without chondrocalcinosis undergoing total knee arthroplasty for osteoarthritis. Methods In this retrospective cohort study performed in 2017, 408 knees in 392 patients (16 bilateral total knee arthroplasties) were included. None of the patients received additional synovectomy. PROMs were evaluated after 1 year (n = 294) and 5 years (n = 308). The follow-up for clinical data was 5 years (n = 408). The range of final follow-up was 57–84 months. All preoperative radiographs were scored for chondrocalcinosis and Oxford Knee Score, Knee Society Score and Algofunctional Index were used to assess outcome. All clinical records were screened for postoperative complications (excessive wound discharge, infection, loosening, PAO, stiffness), arthritis after surgery and reoperation or revision for any reason. Results Sixty-three knees (15.4%) showed signs of chondrocalcinosis. Male gender, higher age and lower BMI were risk factors for chondrocalcinosis. No difference was found in Oxford Knee Score, Knee Society Score and Algofunctional Index, nor in postoperative complications, postoperative signs of acute arthritis and revision rate. Conclusion Patients with and without chondrocalcinosis have the same outcome after total knee arthroplasty related to pain, functionality, complications, arthritis and revision after surgery for end-stage osteoarthritis. Chondrocalcinosis is not a contraindication for total knee arthroplasty and additional synovectomy is unnecessary. Level of evidence III. Keywords Chondrocalcinosis · Total knee arthroplasty · Calcium pyrophosphate dihydrate · Outcome Abbreviations OA Osteoarthritis CPPD Calciumpyrophosphate dihydrate deposition disease CC Chondrocalcinosis TKA Total knee arthroplasty ASA American Society of Anesthesiologists Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00167-019-05725-7) contains supplementary material, which is available to authorized users.
BMI Body mass index SD Standard deviation IQR Interquartile range PROMs Patient reported outcome measures OKS Oxford knee score KSS Knee society score CFB Change from baseline MUA Manipulation under anesthesia LMWH
Data Loading...
