Table III.
Patient | Age (at time of revision) | Comorbidities | Time from primary to revision (years and months) | Diagnosis/reason for revision | Clinical history | Intraoperative findings | Review date (Years and months post-revision) | Outcome |
---|---|---|---|---|---|---|---|---|
1 | 80 | Hypertension, ischaemic heart disease, asthma | 15 Y 0 M | Osteolysis, loose worn components | Primary 2003, ROM 0 to 110 1007, identified failing R TKA 2015 with loosening of tibial and femoral components | Loose tibial base-plate | 2 Y 2 M | Stable knee, 0 to 100 ROM, no extensor lag |
2 | 80 | Hypothyroidism | 4 Y 10 M | Instability | Failing, incompetent MCL | Nil significant | 1 Y 6 M | 0 to 110, stable, no extensor lag |
3 | 71 | Hypertension | 17 Y 0 M | Loose worn components | Instability and pain developed ∼ 16 years post primary | Significant bearing surface wear and loose components very easy to remove | 1 Y 9 M | 0 to 110, no extensor lag |
4 | 80 | Type 2 diabetes, ischaemic heart disease, hypertension | 2 Y 9 M | Instability | Failing, incompetent MCL | Nil significant | 2 Y 1 M | 0 to 100, 5° extensor lag |
5 | 58 | Gout, DVT | 12 Y 2 M | Instability, loose worn components | Primary 2007, presented with instability in 2017, revised 2017 | Worn poly, loose components | 1 Y 6 M | 0 to 105, no extensor lag |
DVT, deep vein thrombosis; MCL, medial collateral ligament; ROM, range of movement; TKA, total knee arthroplasty.