title: Total Knee Arthroplasty in Patients With a Prior Tibial Plateau Fracture: A Long-Term Report at 15 Years.
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.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Abdel
authors.affiliation: Department of Orthopedic Surgery, Charité Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: von Roth
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: William W
authors.initials: WW
authors.lastname: Cross
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Berry
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: Robert T
authors.initials: RT
authors.lastname: Trousdale
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
authors.forename: David G
authors.initials: DG
authors.lastname: Lewallen
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures; D055815:Young Adult
keywords: complications; post-traumatic arthritis; survivorship; tibia plateau fracture; total knee arthroplasty (TKA)