Increased complications rates and inferior patient reported outcomes following total knee arthroplasty due to post-traumatic osteoarthritis with previous fracture treatment: a systematic review - Summary - MDSpire
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Increased complications rates and inferior patient reported outcomes following total knee arthroplasty due to post-traumatic osteoarthritis with previous fracture treatment: a systematic review
To compare the outcomes of total knee arthroplasty (TKA) in patients with post-traumatic osteoarthritis (PTOA) after fracture treatment with those undergoing TKA for primary osteoarthritis (OA), focusing on patient-reported outcome measures (PROMs) and complication rates.
Key Findings:
Patients with PTOA after fracture treatment experienced inferior PROMs compared to those with primary OA, indicating a need for improved management strategies.
Increased complication rates were observed in TKA patients with PTOA, highlighting the need for careful patient selection.
The majority of included studies were rated as moderate quality, with some high and low quality studies, suggesting variability in evidence strength.
Interpretation:
The findings suggest that TKA outcomes are less favorable in patients with PTOA due to previous fractures, indicating a need for tailored approaches in this population to improve surgical outcomes.
Limitations:
Variability in study designs and quality may affect the reliability of results, potentially leading to biased conclusions.
Limited inclusion of specific types of knee injuries in previous reviews restricts the generalizability of findings.
Conclusion:
TKA in patients with PTOA due to previous fractures is associated with higher complication rates and poorer patient-reported outcomes compared to TKA for primary OA.
