title: Dealing with the predicted increase in demand for revision total knee arthroplasty: challenges, risks and opportunities.
abstract: Worldwide rates of primary and revision total knee arthroplasty (TKA) are rising due to increased longevity of the population and the burden of osteoarthritis. Revision TKA is a technically demanding procedure generating outcomes which are reported to be inferior to those of primary knee arthroplasty, and with a higher risk of complication. Overall, the rate of revision after primary arthroplasty is low, but the number of patients currently living with a TKA suggests a large potential revision healthcare burden. Many patients are now outliving their prosthesis, and consideration must be given to how we are to provide the necessary capacity to meet the rising demand for revision surgery and how to maximise patient outcomes. The purpose of this review was to examine the epidemiology of, and risk factors for, revision knee arthroplasty, and to discuss factors that may enhance patient outcomes.
authors.affiliation: University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, UK.
authors.forename: D F
authors.initials: DF
authors.lastname: Hamilton
authors.affiliation: University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, UK.
authors.forename: C R
authors.initials: CR
authors.lastname: Howie
authors.affiliation: University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, UK.
authors.forename: R
authors.initials: R
authors.lastname: Burnett
authors.affiliation: University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, UK.
authors.forename: A H R W
authors.initials: AH
authors.lastname: Simpson
authors.affiliation: University of Edinburgh, 49 Little France Crescent, Edinburgh, EH164SB, UK.
authors.forename: J T
authors.initials: JT
authors.lastname: Patton
mesh_terms: D000367:Age Factors; D019645:Arthroplasty, Replacement, Knee / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D020370:Osteoarthritis, Knee / Q000453:epidemiology; D011475:Prosthesis Failure; D012086:Reoperation / Q000706:statistics & numerical data; D016896:Treatment Outcome; D006113:United Kingdom / Q000453:epidemiology
keywords: health policy; outcomes; revision total knee replacement