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J Knee Surg 2017; 30(01): 57-62
DOI: 10.1055/s-0036-1579666
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Impact of Prior Surgery after Total Knee Arthroplasty

Marcus A. Rothermich
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Denis Nam
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Rob H. Brophy
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Kevin K. Li
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Robert L. Barrack
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Ryan M. Nunley
1   Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

23 September 2015

15 January 2016

Publication Date:
10 March 2016 (online)

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Abstract

The number of total knee arthroplasty (TKA) procedures performed continues to rise. This is the first 1:1 matched cohort analysis of functional outcomes from a large prospective total joint registry. Our hypothesis is that a previous ipsilateral knee surgery is not associated with worse outcome scores following TKA. A total of 1,473 patients who underwent TKA were reviewed: 469 with a history of previous ipsilateral knee surgery and 1,004 without. After 1:1 matching, 469 patients were included in each cohort. Patients in both cohorts had statistically similar postoperative functional outcome scores, although patients without previous ipsilateral knee surgery had an increased Western Ontario and McMaster Universities Arthritis Index stiffness score. This study supports the hypothesis that previous ipsilateral knee surgery is not associated with worse functional outcomes following primary TKA.

Keywords

total knee arthroplasty - meniscectomy - anterior cruciate ligament reconstruction - chondroplasty
 

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