Total Knee Arthroplasty in Patients with Dementia

Nicholas M. Hernandez; Daniel J. Cunningham; William A. Jiranek; Michael P. Bolognesi; Thorsten M. Seyler

doi:10.1055/s-0040-1712086

The Journal of Knee Surgery, Table of Contents

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

Original Article

Total Knee Arthroplasty in Patients with Dementia

Authors

Nicholas M. Hernandez

¹Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
Daniel J. Cunningham

¹Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
William A. Jiranek

¹Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
Michael P. Bolognesi

¹Department of Orthopaedic Surgery, Duke University, Durham, North Carolina
Thorsten M. Seyler

¹Department of Orthopaedic Surgery, Duke University, Durham, North Carolina

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

Full Text

References

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