Table 2.
Studies showcasing ADD in TKR patients
| Sl no. | Author/year | Study design | Number of cases of ADD in TKR | Age/sex | Site of skin lesion in relation to incision | Time since surgery to appearance of skin lesion | Mean time taken for complete healing lesion | Diagnostic tests done | Treatment | Knee function |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Satku et al. [9] | Case series | 4 (1 bilateral) | 71.33 ± 3.5 years; 2M/1F | Lateral to the incision-TKA | 5.5 ± 2.38 (4–9 months) | 8–12 months | Skin scraping for gram staining and culture; sweat test | Betamethasone ointment | NR |
| 2 | Verma et al. [14] | Case series | 55 (only 16 were available for regular follow-up) | NR; 11M/5F | Lateral in 12 and in 4 patients on both sides of incision | 3 weeks–4 months | NR | Skin scraping for gram staining and culture; patch test | Topical emollients and topical steroids | NR |
| 3 | Sharquie et al. [7] | Case series (6 patients of saphenous vein grafting) | 1 | 60 year F | Lateral to incision | 3 months | NR | NR | NR | NR |
| 4 | Madke et al. [6] | Case series (4 patients of saphenous vein grafting and 1 OR for fracture femur) | 5 |
60.8 ± 2.48 years; 3M/2F |
NR | 10 months–2 years | NR | Sweat test (starch–iodine test); patch test; biopsy | Topical moisturizers and topical steroids | NR |
| 5 | Barbera et al. [10] | Case report | 2 (1 bilateral) | 65 year M | Lateral to incision | 3 months | 6 months | Biopsy | Topical steroids | NR |
| 6 | Pathania et al. [13] | Case report | 2 (1 bilateral) | 60 year F | Lateral to incision | 3 months | 2 weeks for improvement | Skin scraping for gram staining and culture | NR | NR |
| 7 | Mathur et al. [11] | Case report | 4 (2 bilateral) | 54.5 ± 7.7 years; 1M/1F | NR |
Case 1–16 months Case 2–11 months |
NR | Biopsy | NR | NR |
| 8 | Nazeer et al. [12] | Prospective cohort study | 9 TKA out of 203 knees (1 bilateral) | 64.5 ± 7.03 years; 1M/7F | Lateral to incision | Mean 4 (3–6) months | 6.33 (4–10) weeks | Skin scraping for gram staining and culture; Biopsy | Topical steroids | Stable, mean KSS-90 (84–94)- in all |
TKR total knee replacement, KSS Knee Society Score, OR open reduction, NR not reported, ADD autonomic denervation dermatitis