Journal article
Total knee arthroplasty for posttraumatic osteoarthritis in military personnel under age 50
Journal of orthopaedic research, Vol.35(3), pp.677-681
03/2017
DOI: 10.1002/jor.23290
PMID: 27177309
Abstract
United States military personnel frequently suffer knee injuries. The resulting progressive posttraumatic osteoarthritis (PTOA) causes significant disability in these young high-demand patients for which total knee arthroplasty (TKA) is the only effective treatment of their pain and impairment. Yet the use of this option for treatment of PTOA has not been studied. This retrospective review identified 74 knees in 64 U.S. military personnel who underwent TKA at ≤50 years of age during an 8-year period at a tertiary-care, academic, military medical center. Fifty-five knees (74.3%) experienced one or more prior ligamentous, meniscal, or chondral injuries prior to arthroplasty. Only one subject had a history of osteochondral intra-articular fracture. The average at injury was 29.2 years (95%CI of ±2.50) with an average age at arthroplasty of 44.3 years (±1.11). The most common injury was anterior cruciate ligament rupture (n = 19) with a mean time to TKA of 23.1 (±10.54) and 18.8 years (±7.01) when concomitant meniscal pathology was noted. Nineteen patients were noted to have radiographic and symptomatic end-stage osteoarthritis without a specified etiology at 41.4 years (±1.47) and underwent subsequent TKA. This is the first study to evaluate treatment of end-stage PT OA in young people treated with TKA, finding that the incidence of PTOA as an indication for arthroplasty is significantly higher than among civilians. In this otherwise healthy, high-demand patient population, the rate of OA progression following knee injury is accelerated and the long term implications can be career and life altering. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:677-681, 2017.
Details
- Title: Subtitle
- Total knee arthroplasty for posttraumatic osteoarthritis in military personnel under age 50
- Creators
- Andrew S Murtha - Department of Orthopaedic Surgery, San Antonio Military Medical Center, JBSA Fort Sam Houston, TexasAnthony E Johnson - Department of Orthopaedic Surgery, San Antonio Military Medical Center, JBSA Fort Sam Houston, TexasJoseph A Buckwalter - Department of Orthopaedic Surgery, University of Iowa Hospitals, Iowa City, IowaJessica C Rivera - US Army Institute of Surgical Research and San Antonio Military Medical Center, 3698 Chambers Pass, JBSA Fort Sam Houston 78234, Texas
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic research, Vol.35(3), pp.677-681
- DOI
- 10.1002/jor.23290
- PMID
- 27177309
- NLM abbreviation
- J Orthop Res
- ISSN
- 0736-0266
- eISSN
- 1554-527X
- Publisher
- United States
- Language
- English
- Date published
- 03/2017
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Injury Prevention Research Center
- Record Identifier
- 9984040579402771
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