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J Knee Surg 2022; 35(01): 026-031
DOI: 10.1055/s-0040-1712086
Original Article

Total Knee Arthroplasty in Patients with Dementia

Nicholas M. Hernandez 
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Daniel J. Cunningham
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
William A. Jiranek
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Michael P. Bolognesi
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
,
Thorsten M. Seyler
1   Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
› Institutsangaben Funding None.
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Abstract

There are few studies evaluating total knee arthroplasty (TKA) in patients with dementia. The purpose of this study was to evaluate the rate of revision, complication, emergency department (ED) visitation, and discharge disposition in patients with dementia undergoing primary TKA. In this retrospective study, we evaluated patients from 2007 to 2017 using a national database. Ninety-day complications in patients with dementia undergoing TKA were increased risk of ED visitation and skilled nursing facility (SNF) disposition (p  ≤  0.05). Two-year complications in patients with dementia undergoing TKA were increased risk of ED visitation and SNF disposition (p  ≤  0.05). Patients with dementia undergoing TKA are at an increased risk of resource utilization.

Keywords

total joint arthroplasty - primary total knee arthroplasty - total knee arthroplasty - dementia - complications


Publikationsverlauf

Eingereicht: 22. Januar 2020

Angenommen: 31. März 2020

Artikel online veröffentlicht:
27. Mai 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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