Dealing with the predicted increase in demand for revision total knee arthroplasty: challenges, risks and opportunities

D.F. Hamilton*, C.R. Howie, R. Burnett, A.H.R.W. Simpson, J.T. Patton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

83 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)723-728
Number of pages6
JournalBone and Joint Journal
Volume97-B
Issue number6
Early online date1 Jun 2015
DOIs
Publication statusPublished - 1 Jun 2015

Keywords

  • revision total knee replacement
  • outcomes
  • health policy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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