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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Revision Total Knee Arthroplasty, Mid Term Outcomes and Boneless Quality Evaluation and Treatment: An Institutional Based Study
Dr. Kashyap L Zala, Dr. Hardik L Patel

Background: Performing revision total knee arthroplasty (r TKA) is a challenging surgical procedure marked by a considerable risk of complications, failures, substantial bone losses, and low bone quality. Hence, this study was conducted to analyse the outcomes, boneless quality and treatment. Materials & Methods: All subjects who underwent revision total knee arthroplasty (rTKA) were included in the study. Logistic regression was used to analyze the relationship between these factors and the occurrence of RLL. The results were analysed using SPSS software. Results:20 percent of the patients were identified having poor bone quality according to modified AORI classification. Out of these 10 cases of poor bone quality, AORI 1 was seen in 4% patients, AORI 2 was seen in 6% patients, AORI 2B was seen in 8% patients and AORI was seen in 2% patients. Good bone quality was seen in 80 percent of the cases. AOR1 was seen in 20% patients, AORI 2 was seen in 40% patients, AORI 2B was seen in 24% patients and AORI was seen in 16% patients.The KSS significantly improved from 13.2 points preoperatively to 78.4 points at final follow-up (P < 0.001). Postoperative complications occurred in 8% of the patients. This included superficial infection and quadriceps tendon lesion. Conclusion: Performing revision total knee arthroplasty (rTKA) is a complex procedure, and effectively addressing bone loss is essential to attain favorable outcomes.

 
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