Journal of AdvancedMedical and Dental Sciences Research

Background: Total knee arthroplasty (TKA) is one of the most common major surgical procedures. The present study was conducted to determine total knee replacement patients and their outcome. Materials & Methods: The present retrospective study was conducted on 146 patients of both genders in which TKA was performed in last 5 years. In all patients, type of failure, and need for revision total knee arthroplasty was recorded. Results: Out of 146 patients, males were 86 and females were 60.  Causes of revision TKA was infection seen in 90, aseptic loosening in 10, instability in 9, stiff knee in 15, peri-prosthetic fracture in 12, patellar clunk in 3, quadriceps disruption in 4, failed unicondylar knee in 2 and metallosis in 1. The difference was significant (P< 0.05). The most common early failure was infection seen in 40 and peri-prosthetic fracture seen in 5 patients. Most common delayed failure was stiff knee seen in 7 and instability in 6 patients. Late failure was seen in stiff knee in 5 cases. Conclusion: The most common reason for revision total knee arthroplasty was infection followed by Peri-prosthetic fracture and stiff knee.
Key words: Peri-prosthetic fracture, Metallosis, Total knee arthroplasty.

Received: 15 February, 2019                                     Revised:  16 March 2019                         Accepted: 18 March 2019

Corresponding author: Dr. Vinay Kumar, Associate Professor, Department of Orthopaedics, Mulayam Singh Yadav Medical College & Hospital, Meerut-Hapur Road, Kharkhauda P.O, Nalpur, Uttar Pradesh 245206, India
                                                                                 
This article may be cited as: Kumar V. Evaluation of cases of total knee arthroplasty and their outcome- A clinical study. J Adv Med Dent Scie Res 2019;7(4): 141-144.