Arthroscopic Surgery of the Knee in the Geriatric Patient

Yang, S. Steven; Nisonson, Barton

doi:10.1097/00003086-199507000-00008

Cited by 38 publications

(18 citation statements)

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“…According to Pagnano et al [14], Miller et al [11] and McGinley et al [10], arthroscopic procedures can improve clinical symptoms and delay total knee arthroplasty (TKA) intervention, even in middle-aged and geriatric populations [21].…”

Section: Introductionmentioning

confidence: 99%

Is previous knee arthroscopy related to worse results in primary total knee arthroplasty?

Piedade

Pinaroli

Servien

et al. 2008

Knee Surg Sports Traumatol Arthrosc

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According to literature, knee arthroscopy is a minimal invasive surgery performed for minor surgical trauma, reduced morbidity and shortens the hospitalization period. Therefore, this type of surgery before total knee arthroplasty (TKA) could be considered a minor procedure with minimum postoperative complication. A retrospective and cohort series of 1,474 primary TKA was performed with re-assessment after a minimum follow-up period of 2 years: 1,119 primary TKA had no previous surgery (group A) and 60 primary TKA had arthroscopic debridement (group B). All the patients underwent a clinical and radiological evaluation as well as IKS scores. Statistical analysis of postoperative complications revealed that group B had a higher postoperative complication rate (P < 0.01). In this group, 30% of local complications were re-operated and 8.3% of these cases underwent revision TKA (P < 0.01). The mean interval between arthroscopy and primary TKA was 53 months. However, statistical analysis did not reveal a direct correlation between arthroscopy/primary TKA interval and postoperative complications/failures (P = 0.55). The Kaplan-Meier survival curves showed a survival rate of 98.1 and 86.8% at 10 years follow-up for groups A and B, respectively. Our data allow us to conclude that previous knee arthroscopy should be considered a factor related to postoperative primary TKA outcomes as demonstrated by the higher rate of postoperative complications and failures (P < 0.001) as well as a worse survival curve than group A.

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Section: Introductionmentioning

confidence: 99%

Is previous knee arthroscopy related to worse results in primary total knee arthroplasty?

Piedade

Pinaroli

Servien

et al. 2008

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

“…Patients whose primary symptom is mechanical generally have a better prognosis (Baumgaertner, Cannon et al 1990;Ogilvie-Harris and Fitsialos 1991). Shorter duration of symptoms (Yang and Nisonson 1995;Fond, Rodin et al 2002), normal coronal plane alignment (Baumgaertner, Cannon et al 1990;Aaron, Skolnick et al 2006), and no evidence of joint space narrowing (Jackson and Dieterichs 2003;Aaron, Skolnick et al 2006) also are predictive of better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Management of Knee Articular Cartilage Injuries

Harris¹,

Flanigan²

2011

Modern Arthroscopy

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“…Many series report results on fewer than 100 patients [42][43][44]47,52,53,55], introducing the possibility of sampling error. Loss to follow-up was over 40% in two studies [52,55] and not reported in four others [46,50,53,54]. Although average age was 49 or older in all studies, the age ranges were quite variable with some studies including 20-to 40-year-old patients and others excluding all patients below fifty (Table 5).…”

Section: Arthroscopic Debridementmentioning

confidence: 94%

“…Data from 16 case series reporting on arthroscopic debridement of OA are reviewed in Table 5 [42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57]. Good and excellent results, as defined by the respective authors, are reported in 40% to 75% of patients at final follow-up.…”

Section: Arthroscopic Debridementmentioning

confidence: 99%