Total knee arthroplasty in young patients: Factors predictive of aseptic failure in the 2nd–4th decade

• Published in: Journal of orthopaedics Vol. 15; no. 1; pp. 28 - 31
• Main Authors: Camus, Tristan, Long, William J
• Format: Journal Article
• Language: English
• Published: India Elsevier India Pvt Ltd 01.03.2018; Elsevier
• Subjects: Long term outcomes in TKA; Orthopedics; Predictors of failure in TKA; Young patients with TKAs; Long term outcomes in TKA; Young patients with TKAs; Predictors of failure in TKA
• ISSN: 0972-978X; 0972-978X
• DOI: 10.1016/j.jor.2017.11.004

Abstract Objective In a recently published article we reviewed our long term outcomes of TKA in young patients (<55) with end stage OA. The purpose of this study was to identify what additional factors may predict aseptic failure in these young patients. Methods A retrospective review of all patients in our young TKA database was performed, and included failure only for mechanical wear and loosening. Results The IB-II prosthesis, a thin polyethylene (<9 mm), and higher Knee Society functional class at midterm follow-up was associated with higher failure rate. Conclusion This study helps better identify the etiology of failed young patient TKA.