Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years

J Arthroplasty. 2015 Dec;30(12):2170-2. doi: 10.1016/j.arth.2015.06.032. Epub 2015 Jun 20.

Abstract

The goal of the current study was to determine the 15-year outcomes of 62 patients who underwent a total knee arthroplasty (TKA) after a prior tibial plateau fracture. Mean age at the index surgical intervention was 63 years. At most recent followup, there were 11 revisions. The 15-year survivorship free from revision for aseptic loosening was 96%. In unrevised cases, the components were radiographically well-fixed. There were a total of 21 complications, 90% of which occurred at <2 years. While patients undergoing TKA after a tibial plateau fracture have an increased rate of complications, the 15-year results indicate that subsequent survivorship is similar to that of patients undergoing TKA for degenerative arthritis if early complications can be avoided.

Keywords: complications; post-traumatic arthritis; survivorship; tibia plateau fracture; total knee arthroplasty (TKA).

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee / adverse effects
  • Arthroplasty, Replacement, Knee / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Joint / diagnostic imaging
  • Knee Joint / surgery
  • Male
  • Middle Aged
  • Radiography
  • Tibial Fractures*
  • Young Adult