Identifying Risk Factors for the Development of Stiffness After Revision Total Knee Arthroplasty

S B Dowdle; Nicholas A Bedard; Jessell M Owens; Yubo Gao; John J Callaghan

doi:10.1016/j.arth.2017.11.047

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Identifying Risk Factors for the Development of Stiffness After Revision Total Knee Arthroplasty

Journal article

Peer reviewed

Identifying Risk Factors for the Development of Stiffness After Revision Total Knee Arthroplasty

S B Dowdle, Nicholas A Bedard, Jessell M Owens, Yubo Gao and John J Callaghan

The Journal of arthroplasty, Vol.33(4), pp.1186-1188

04/2018

DOI: 10.1016/j.arth.2017.11.047

PMID: 29336857

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Abstract

Although there are several studies concerning manipulation under anesthesia (MUA) after primary total knee arthroplasty, there is a paucity of literature evaluating MUA after revision total knee arthroplasty (rTKA). The purpose of this study was to determine the incidence, timing, and risk factors associated with MUA after rTKA. The Humana database was reviewed from 2007 to 2015 for all patients who underwent rTKA. Patients who underwent rTKA followed by ipsilateral MUA were identified. Time to MUA was calculated monthly. Possible risk factors analyzed included preoperative narcotic use, smoking, anxiety and/or depression, diabetes, obesity, age, and sex. Multivariate logistic regression was used to determine odds ratio. In total, 5414 rTKAs were included in the study and 1.7% (n = 96) underwent MUA after surgery. Sixty-nine percent of MUAs occurred within the first 3 months after rTKA. Young patients (<50 years) had significantly higher odds of MUA after rTKA (6.5, P < .0001). No difference in odds of MUA (1.0, P = .85) occurred between males and females. A diagnosis of obesity, diabetes, anxiety and/or depression, previous history of narcotic use, or a history of smoking demonstrated no increased risk of MUA after rTKA. Multivariate logistic regression analysis demonstrated that younger age remained predictive of higher odds of MUA after rTKA. In this large multicenter cohort study, 1.7% of patients underwent MUA after rTKA and younger patients were 6 times more likely to have a MUA than patients over 50 years old. These data should serve to help counsel patients regarding their risk of MUA after rTKA.

Age Factors

Arthroplasty, Replacement, Knee - adverse effects

Humans

Middle Aged

Risk Factors

Male

Osteoarthritis, Knee - therapy

Joint Diseases - therapy

Manipulation, Orthopedic

Knee Joint - surgery

Joint Diseases - etiology

Range of Motion, Articular

Adult

Female

Aged

Retrospective Studies

Osteoarthritis, Knee - surgery

Cohort Studies

Details

Title: Subtitle: Identifying Risk Factors for the Development of Stiffness After Revision Total Knee Arthroplasty
Creators: S B Dowdle - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Nicholas A Bedard - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Jessell M Owens - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Yubo Gao - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
John J Callaghan - The Department of Orthopaedic Surgery and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Resource Type: Journal article
Publication Details: The Journal of arthroplasty, Vol.33(4), pp.1186-1188
Publisher: United States
DOI: 10.1016/j.arth.2017.11.047
PMID: 29336857
ISSN: 0883-5403
eISSN: 1532-8406
Language: English
Date published: 04/2018
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Internal Medicine
Record Identifier: 9984040356302771

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