Low Incidence of Postoperative Complications With Navigated Total Knee Arthroplasty
| Autor: | Matthew J. Brown, Kenneth A. Krackow, John Reza Matthews, Mary Bayers-Thering, Matthew J. Phillips |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment New York Total knee arthroplasty Bone Nails 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Postoperative Period Arthroplasty Replacement Knee Aged Retrospective Studies 030222 orthopedics business.industry Incidence Incidence (epidemiology) Postoperative complication 030229 sport sciences Femoral fracture Perioperative Middle Aged medicine.disease Arthroplasty Surgery Tibial Fractures Surgery Computer-Assisted Cohort Female business Femoral Fractures Surgical incision |
| Zdroj: | The Journal of Arthroplasty. 32:2120-2126 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2017.01.045 |
| Popis: | Background A number of postoperative complications of navigated total knee arthroplasty (TKA) have been discussed in the literature, including tracker pin site infection and fracture. In this article, we discuss the low postoperative complication rate in a series of 3100 navigated TKAs and the overall complication rate in a systematic analysis of the literature. Methods Three thousand one hundred consecutive patients with navigated TKAs from 2001-2016 were retrospectively evaluated for complications specific to navigation. We discuss the 2 cases of postoperative fracture through tracker pin sites that we experienced and compare this systematically with the literature. Results Postoperatively, our 3100 patient cohort experienced a total of 2 fractures through pin sites for an incidence of 0.065%. One was a distal femoral fracture which was treated surgically, and the other was a proximal tibial fracture treated nonoperatively. Because of our incorporation of the tracker sites within our operative incision, there were no identifiable pin site infections, which others have noted at an incidence of 0.47%. Our 0.065% fracture rate compares favorably with the 0.16% rate of fracture published in the literature. Conclusion There is an extremely low risk of perioperative complications because of the instrumentation used in navigated TKA when using the Stryker Navigation System and 4.0 mm anchoring pins placed within the surgical incision. |
| Databáze: | OpenAIRE |
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