Arthrofibrosis after total knee arthroplasty: patients with keloids at risk

Autor: Travis R. Flick, Cindy X. Wang, Akshar H. Patel, Thomas W. Hodo, William F. Sherman, Fernando L. Sanchez
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Orthopaedics and Traumatology, Vol 22, Iss 1, Pp 1-8 (2021)
Druh dokumentu: article
ISSN: 1590-9921
1590-9999
DOI: 10.1186/s10195-020-00563-7
Popis: Abstract Background Arthrofibrosis remains one of the leading causes for revision in primary total knee arthroplasty (TKA). Similar in nature to arthrofibrosis, hypertrophic scars and keloid formation are a result of excessive collagen formation. There is paucity in the literature on whether there is an association between keloid formation and the development of arthrofibrosis following TKA. Therefore, the purpose of this study was to utilize a large nationwide database to identify and compare the rates of postoperative complications related to arthrofibrosis after primary TKA in patients with history of hypertrophic scar and keloid disorders versus those without. Methods Patient records from 2010 to the second quarter of 2016 were queried from an administrative claims database, comparing rates of arthrofibrosis, manipulation under anesthesia (MUA), lysis of adhesions (LOA), and revision TKA in patients with chart diagnosis of keloids versus those without in patients who underwent primary TKA. Data analysis was performed using R statistical software (R Project for Statistical Computing, Vienna, Austria) utilizing multivariate logistic regression, chi square analysis, or Welch’s t- test where appropriate with p values
Databáze: Directory of Open Access Journals
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