Factors associated with arthrofibrosis-related revision following 14,325 total or unicompartmental knee arthro-plasties: an analysis from the Dutch Arthroplasty Registry.

IF 2.5 2区 医学 Q1 ORTHOPEDICS Acta Orthopaedica Pub Date : 2024-10-15 DOI:10.2340/17453674.2024.41988
Myrthe P F Van de Ven, Joris Bongers, Anneke Spekenbrink-Spooren, Sander Koëter
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引用次数: 0

Abstract

Background and purpose:  Arthrofibrosis is a fibrotic joint disorder that can impair the results of knee arthroplasty surgery by limiting the range of motion, functionality, and quality of life. We aimed to investigate whether patient and procedural characteristics are associated with arthrofibrosis-related revision following unicompartmental and total knee arthroplasty (UKA and TKA).

Methods:  A prospective observational study was conducted using data from the Dutch Arthroplasty Registry. We included 14,325 revisions performed in 2014-2022 following primary knee arthroplasty. Demographic and surgical characteristics including age, sex, BMI, smoking status, and prosthesis type (TKA versus UKA) were analyzed. Multiple logistic regression was performed to investigate associations between these factors and arthrofibrosis-related revisions, compared with other reasons.

Results:  Revisions were due to arthrofibrosis in 711 (5%) patients. There were significantly higher associations for younger age (odds ratio [OR] 0.97, 95% confidence interval [CI] 0.96-0.97)), male sex (OR 1.2, CI 1.0-1.4), lower BMI (OR 0.97, CI 0.95-0.98), non-smoking status (OR 1.7, CI 1.2-2.3), and TKA (OR 7.7, CI 5.2-12), for arthrofibrosis-related revision compared with any other reason for revision.

Conclusion: Younger patients, men, non-smokers, patients with a lower BMI, and those who had primary TKA were more often associated with revision due to arthrofibrosis than other reasons for revision.

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14,325 例全膝关节或单髁膝关节置换术后与关节纤维化相关的翻修因素:来自荷兰关节置换术注册中心的分析。
背景和目的:关节纤维化是一种纤维化关节疾病,会限制膝关节的活动范围、功能和生活质量,从而影响膝关节置换手术的效果。我们旨在研究患者和手术特点是否与单关节和全膝关节置换术(UKA 和 TKA)后的关节纤维化相关翻修有关: 我们利用荷兰关节成形术登记处的数据开展了一项前瞻性观察研究。我们纳入了 2014-2022 年间进行的 14,325 例初级膝关节置换术后翻修手术。研究分析了人口统计学和手术特征,包括年龄、性别、体重指数、吸烟状况和假体类型(TKA 与 UKA)。与其他原因相比,进行了多元逻辑回归以研究这些因素与关节纤维化相关翻修之间的关联: 711名(5%)患者因关节纤维化而进行了翻修。与其他翻修原因相比,年龄较小(几率比[OR]0.97,95% 置信区间[CI]0.96-0.97)、男性(OR 1.2,CI 1.0-1.4)、体重指数较低(OR 0.97,CI 0.95-0.98)、不吸烟(OR 1.7,CI 1.2-2.3)和 TKA(OR 7.7,CI 5.2-12)与关节纤维化相关翻修的相关性明显更高:结论:与其他翻修原因相比,年轻患者、男性、非吸烟者、体重指数(BMI)较低的患者和接受过初次TKA的患者更常因关节纤维化而进行翻修。
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来源期刊
Acta Orthopaedica
Acta Orthopaedica 医学-整形外科
CiteScore
6.40
自引率
8.10%
发文量
105
审稿时长
4-8 weeks
期刊介绍: Acta Orthopaedica (previously Acta Orthopaedica Scandinavica) presents original articles of basic research interest, as well as clinical studies in the field of orthopedics and related sub disciplines. Ever since the journal was founded in 1930, by a group of Scandinavian orthopedic surgeons, the journal has been published for an international audience. Acta Orthopaedica is owned by the Nordic Orthopaedic Federation and is the official publication of this federation.
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