Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000161.xml
Download PDF
J Knee Surg 2015; 28(02): 127-138
DOI: 10.1055/s-0034-1396014
DOI: 10.1055/s-0034-1396014
Special Focus Section
Modes of Failure of Total Knee Arthroplasty: Registries and Realities
Further Information
Publication History
31 July 2014
11 October 2014
Publication Date:
24 November 2014 (online)
Abstract
Revision knee arthroplasty places a major strain on the health care system and is associated with high rates of complications, readmissions, and reoperations. Determining the modes of failure of total knee arthroplasty (TKA) preoperatively is essential for a successful revision procedure. Nationwide arthroplasty registries have served as reliable quality control instruments and as data sources of clinical studies that can potentially help guide the investigation of a failed TKA. Modes of failure vary according to the setting of the procedure (primary vs revision arthroplasty) and the prosthesis level of constraint. This article reviews the most prevalent modes of failure of primary and revision TKA, and further quantifies rates and specific modes of failure of bicruciate retaining, posterior cruciate retaining, posterior stabilizing, varus–valgus constrained, and hinged implants.
-
References
- 1 Losina E, Thornhill TS, Rome BN, Wright J, Katz JN. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic. J Bone Joint Surg Am 2012; 94 (3) 201-207
- 2 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (4) 780-785
- 3 Weinstein AM, Rome BN, Reichmann WM , et al. Estimating the burden of total knee replacement in the United States. J Bone Joint Surg Am 2013; 95 (5) 385-392
- 4 Dy CJ, Marx RG, Bozic KJ, Pan TJ, Padgett DE, Lyman S. Risk factors for revision within 10 years of total knee arthroplasty. Clin Orthop Relat Res 2014; 472 (4) 1198-1207
- 5 Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am 2005; 87 (7) 1487-1497
- 6 Pabinger C, Berghold A, Boehler N, Labek G. Revision rates after knee replacement. Cumulative results from worldwide clinical studies versus joint registers. Osteoarthritis Cartilage 2013; 21 (2) 263-268
- 7 Labek G, Thaler M, Janda W, Agreiter M, Stöckl B. Revision rates after total joint replacement: cumulative results from worldwide joint register datasets. J Bone Joint Surg Br 2011; 93 (3) 293-297
- 8 Oduwole KO, Molony DC, Walls RJ, Bashir SP, Mulhall KJ. Increasing financial burden of revision total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2010; 18 (7) 945-948
- 9 Mahomed NN, Barrett J, Katz JN, Baron JA, Wright J, Losina E. Epidemiology of total knee replacement in the United States Medicare population. J Bone Joint Surg Am 2005; 87 (6) 1222-1228
- 10 Santaguida PL, Hawker GA, Hudak PL , et al. Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review. Can J Surg 2008; 51 (6) 428-436
- 11 Lonner JH, Siliski JM, Scott RD. Prodromes of failure in total knee arthroplasty. J Arthroplasty 1999; 14 (4) 488-492
- 12 Robertsson O. Knee arthroplasty registers. J Bone Joint Surg Br 2007; 89 (1) 1-4
- 13 Report June 2010. The Norwegian Arthroplasty Center. Available at: http://nrlweb.ihelse.net/Rapporter/Rapport2010.pdf . Accessed June 17, 2014
- 14 Annual report 2013. Swedish Knee Arthroplasty Register. Available at: http://myknee.se/pdf/SKAR2013_Eng.pdf . Accessed June 17, 2014
- 15 Annual Report 2013. Australian Joint Replacement Registry. Available at: https://aoanjrr.dmac.adelaide.edu.au/annual-reports-2013 . Accessed June 17, 2014
- 16 9th Annual Report 2012. National Joint Registry for England and Wales. Available at: http://www.njrcentre.org.uk/njrcentre/Portals/0/Documents/England/Reports/9th_annual_report/NJR%209th%20Annual%20Report%202012.pdf . Accessed June 17, 2014
- 17 Fourteen Year Report January 1999 to December 2012. The New Zealand Joint Registry. Available at: http://www.nzoa.org.nz/system/files/NJR%2014%20Year%20Report.pdf . Accessed June 17, 2014
- 18 Bozic KJ, Kurtz SM, Lau E , et al. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res 2010; 468 (1) 45-51
- 19 Schroer WC, Berend KR, Lombardi AV , et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplasty 2013; 28 (8, Suppl): 116-119
- 20 Mulhall KJ, Ghomrawi HM, Scully S, Callaghan JJ, Saleh KJ. Current etiologies and modes of failure in total knee arthroplasty revision. Clin Orthop Relat Res 2006; 446 (446) 45-50
- 21 Le DH, Goodman SB, Maloney WJ, Huddleston JI. Current modes of failure in TKA: infection, instability, and stiffness predominate. Clin Orthop Relat Res 2014; 472 (7) 2197-2200
- 22 Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Insall Award paper. Why are total knee arthroplasties failing today?. Clin Orthop Relat Res 2002; (404) 7-13
- 23 Koh IJ, Cho WS, Choi NY, Kim TK ; Kleos Korea Research Group. Causes, risk factors, and trends in failures after TKA in Korea over the past 5 years: a multicenter study. Clin Orthop Relat Res 2014; 472 (1) 316-326
- 24 Kasahara Y, Majima T, Kimura S, Nishiike O, Uchida J. What are the causes of revision total knee arthroplasty in Japan?. Clin Orthop Relat Res 2013; 471 (5) 1533-1538
- 25 Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ. The Chitranjan Ranawat Award: Long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop Relat Res 2006; 452 (452) 28-34
- 26 Medel FJ, Kurtz SM, Hozack WJ , et al. Gamma inert sterilization: a solution to polyethylene oxidation?. J Bone Joint Surg Am 2009; 91 (4) 839-849
- 27 Griffin WL, Fehring TK, Pomeroy DL, Gruen TA, Murphy JA. Sterilization and wear-related failure in first- and second-generation press-fit condylar total knee arthroplasty. Clin Orthop Relat Res 2007; 464 (464) 16-20
- 28 Azzam MG, Roy ME, Whiteside LA. Second-generation locking mechanisms and ethylene oxide sterilization reduce tibial insert backside damage in total knee arthroplasty. J Arthroplasty 2011; 26 (4) 523-530
- 29 Galvin AL, Kang L, Udofia I , et al. Effect of conformity and contact stress on wear in fixed-bearing total knee prostheses. J Biomech 2009; 42 (12) 1898-1902
- 30 Peltola M, Malmivaara A, Paavola M. Learning curve for new technology?: a nationwide register-based study of 46,363 total knee arthroplasties. J Bone Joint Surg Am 2013; 95 (23) 2097-2103
- 31 Meehan JP, Danielsen B, Kim SH, Jamali AA, White RH. Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty. J Bone Joint Surg Am 2014; 96 (7) 529-535
- 32 Sheng PY, Konttinen L, Lehto M , et al. Revision total knee arthroplasty: 1990 through 2002. A review of the Finnish arthroplasty registry. J Bone Joint Surg Am 2006; 88 (7) 1425-1430
- 33 Sierra RJ, Cooney IV WP, Pagnano MW, Trousdale RT, Rand JA. Reoperations after 3200 revision TKAs: rates, etiology, and lessons learned. Clin Orthop Relat Res 2004; (425) 200-206
- 34 Suarez J, Griffin W, Springer B, Fehring T, Mason JB, Odum S. Why do revision knee
arthroplasties fail?. J Arthroplasty 2008; 23 (6) (Suppl. 01) 99-103
MissingFormLabel
- 35 Hossain F, Patel S, Haddad FS. Midterm assessment of causes and results of revision total knee arthroplasty. Clin Orthop Relat Res 2010; 468 (5) 1221-1228
- 36 Mortazavi SM, Molligan J, Austin MS, Purtill JJ, Hozack WJ, Parvizi J. Failure following revision total knee arthroplasty: infection is the major cause. Int Orthop 2011; 35 (8) 1157-1164
- 37 Sherrell JC, Fehring TK, Odum S , et al; Periprosthetic Infection Consortium. The Chitranjan Ranawat Award: fate of two-stage reimplantation after failed irrigation and débridement for periprosthetic knee infection. Clin Orthop Relat Res 2011; 469 (1) 18-25
- 38 Mont MA, John M, Johnson A. Bicruciate retaining arthroplasty. Surg Technol Int 2012; 22: 236-242
- 39 Townley CO. The anatomic total knee resurfacing arthroplasty. Clin Orthop Relat Res 1985; (192) 82-96
- 40 Cloutier JM. Results of total knee arthroplasty with a non-constrained prosthesis. J Bone Joint Surg Am 1983; 65 (7) 906-919
- 41 Cherian JJ, Kapadia BH, Banerjee S, Jauregui JJ, Harwin SF, Mont MA. Bicruciate-retaining total knee arthroplasty: a review. J Knee Surg 2014; 27 (3) 199-205
- 42 Cloutier JM, Sabouret P, Deghrar A. Total knee arthroplasty with retention of both cruciate ligaments. A nine to eleven-year follow-up study. J Bone Joint Surg Am 1999; 81 (5) 697-702
- 43 Sabouret P, Lavoie F, Cloutier JM. Total knee replacement with retention of both cruciate ligaments: a 22-year follow-up study. Bone Joint J 2013; 95-B (7) 917-922
- 44 Sorger JI, Federle D, Kirk PG, Grood E, Cochran J, Levy M. The posterior cruciate ligament in total knee arthroplasty. J Arthroplasty 1997; 12 (8) 869-879
- 45 Goodfellow J, O'Connor J. The mechanics of the knee and prosthesis design. J Bone Joint Surg Br 1978; 60-B (3) 358-369
- 46 Lombardi Jr AV, Mallory TH, Fada RA , et al. An algorithm for the posterior cruciate ligament in total knee arthroplasty. Clin Orthop Relat Res 2001; (392) 75-87
- 47 Ritter MA, Herbst SA, Keating EM, Faris PM, Meding JB. Long-term survival analysis of a posterior cruciate-retaining total condylar total knee arthroplasty. Clin Orthop Relat Res 1994; (309) 136-145
- 48 Attar FG, Khaw FM, Kirk LM, Gregg PJ. Survivorship analysis at 15 years of cemented press-fit condylar total knee arthroplasty. J Arthroplasty 2008; 23 (3) 344-349
- 49 Guo L, Yang L, Briard JL, Duan XJ, Wang FY. Long-term survival analysis of posterior cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2012; 20 (9) 1760-1765
- 50 Sextro GS, Berry DJ, Rand JA. Total knee arthroplasty using cruciate-retaining kinematic condylar prosthesis. Clin Orthop Relat Res 2001; (388) 33-40
- 51 Rodricks DJ, Patil S, Pulido P, Colwell Jr CW. Press-fit condylar design total knee
arthroplasty. Fourteen to seventeen-year follow-up. J Bone Joint Surg Am 2007; 89
(1) 89-95
MissingFormLabel
- 52 Gandhi R, Tsvetkov D, Davey JR, Mahomed NN. Survival and clinical function of cemented and uncemented prostheses in total knee replacement: a meta-analysis. J Bone Joint Surg Br 2009; 91 (7) 889-895
- 53 Callaghan JJ. Mobile-bearing knee replacement: clinical results: a review of the literature. Clin Orthop Relat Res 2001; (392) 221-225
- 54 Moskal JT, Capps SG. Rotating-platform TKA no different from fixed-bearing TKA regarding survivorship or performance: a meta-analysis. Clin Orthop Relat Res 2014; 472 (7) 2185-2193
- 55 Bailey O, Ferguson K, Crawfurd E , et al. No clinical difference between fixed- and mobile-bearing cruciate-retaining total knee arthroplasty: a prospective randomized study. Knee Surg Sports Traumatol Arthrosc 2014; ; doi: 10.1007/s00167-014-2877-9
- 56 Li N, Tan Y, Deng Y, Chen L. Posterior cruciate-retaining versus posterior stabilized total knee arthroplasty: a meta-analysis of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc 2014; 22 (3) 556-564
- 57 Bercik MJ, Joshi A, Parvizi J. Posterior cruciate-retaining versus posterior-stabilized total knee arthroplasty: a meta-analysis. J Arthroplasty 2013; 28 (3) 439-444
- 58 Lachiewicz PF, Soileau ES. Fixation, survival and osteolysis with a modern posterior-stabilized total knee arthroplasty. J Arthroplasty 2014; 29 (1) 66-70
- 59 Kalisvaart MM, Pagnano MW, Trousdale RT, Stuart MJ, Hanssen AD. Randomized clinical trial of rotating-platform and fixed-bearing total knee arthroplasty: no clinically detectable differences at five years. J Bone Joint Surg Am 2012; 94 (6) 481-489
- 60 Bistolfi A, Massazza G, Rosso F , et al. Cemented fixed-bearing PFC total knee arthroplasty: survival and failure analysis at 12-17 years. J Orthop Traumatol 2011; 12 (3) 131-136
- 61 O'Rourke MR, Callaghan JJ, Goetz DD, Sullivan PM, Johnston RC. Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design: five to eight-year follow-up. J Bone Joint Surg Am 2002; 84-A (8) 1362-1371
- 62 Lachiewicz PF, Soileau ES. The rates of osteolysis and loosening associated with a modular posterior stabilized knee replacement. Results at five to fourteen years. J Bone Joint Surg Am 2004; 86-A (3) 525-530
- 63 Thadani PJ, Vince KG, Ortaaslan SG, Blackburn DC, Cudiamat CV. Ten- to 12-year followup of the Insall-Burstein I total knee prosthesis. Clin Orthop Relat Res 2000; (380) 17-29
- 64 Mauerhan DR. Fracture of the polyethylene tibial post in a posterior cruciate-substituting total knee arthroplasty mimicking patellar clunk syndrome: a report of 5 cases. J Arthroplasty 2003; 18 (7) 942-945
- 65 Puloski SK, McCalden RW, MacDonald SJ, Rorabeck CH, Bourne RB. Tibial post wear in posterior stabilized total knee arthroplasty. An unrecognized source of polyethylene debris. J Bone Joint Surg Am 2001; 83-A (3) 390-397
- 66 Lachiewicz PF. How to treat a tibial post fracture in total knee arthroplasty? A systematic review. Clin Orthop Relat Res 2011; 469 (6) 1709-1715
- 67 Ferguson KB, Bailey O, Anthony I, James PJ, Stother IG , M J G B. A prospective randomised study comparing rotating platform and fixed bearing total knee arthroplasty in a cruciate substituting design—outcomes at two year follow-up. Knee 2014; 21 (1) 151-155
- 68 Gioe TJ, Glynn J, Sembrano J, Suthers K, Santos ERG, Singh J. Mobile and fixed-bearing
(all-polyethylene tibial component) total knee arthroplasty designs. A prospective
randomized trial. J Bone Joint Surg Am 2009; 91 (9) 2104-2112
MissingFormLabel
- 69 Insall J, Tria AJ, Scott WN. The total condylar knee prosthesis: the first 5 years. Clin Orthop Relat Res 1979; (145) 68-77
- 70 Donaldson III WF, Sculco TP, Insall JN, Ranawat CS. Total condylar III knee prosthesis. Long-term follow-up study. Clin Orthop Relat Res 1988; (226) 21-28
- 71 Stern SH, Wills RD, Gilbert JL. The effect of tibial stem design on component micromotion in knee arthroplasty. Clin Orthop Relat Res 1997; (345) 44-52
- 72 Anderson JA, Baldini A, MacDonald JH, Tomek I, Pellicci PM, Sculco TP. Constrained condylar knee without stem extensions for difficult primary total knee arthroplasty. J Knee Surg 2007; 20 (3) 195-198
- 73 Lachiewicz PF, Soileau ES. Ten-year survival and clinical results of constrained components in primary total knee arthroplasty. J Arthroplasty 2006; 21 (6) 803-808
- 74 Lachiewicz PF, Soileau ES. Results of a second-generation constrained condylar prosthesis in primary total knee arthroplasty. J Arthroplasty 2011; 26 (8) 1228-1231
- 75 Kavolus CH, Faris PM, Ritter MA, Keating EM. The total condylar III knee prosthesis in elderly patients. J Arthroplasty 1991; 6 (1) 39-43
- 76 Hohl WM, Crawfurd E, Zelicof SB, Ewald FC. The Total Condylar III prosthesis in complex knee reconstruction. Clin Orthop Relat Res 1991; (273) 91-97
- 77 Chotivichit AL, Cracchiolo III A, Chow GH, Dorey F. Total knee arthroplasty using the total condylar III knee prosthesis. J Arthroplasty 1991; 6 (4) 341-350
- 78 Lachiewicz PF, Falatyn SP. Clinical and radiographic results of the Total Condylar III and Constrained Condylar total knee arthroplasty. J Arthroplasty 1996; 11 (8) 916-922
- 79 Hartford JM, Goodman SB, Schurman DJ, Knoblick G. Complex primary and revision total knee arthroplasty using the condylar constrained prosthesis: an average 5-year follow-up. J Arthroplasty 1998; 13 (4) 380-387
- 80 Easley ME, Insall JN, Scuderi GR, Bullek DD. Primary constrained condylar knee arthroplasty for the arthritic valgus knee. Clin Orthop Relat Res 2000; (380) 58-64
- 81 Kim YH. Salvage of failed hinge knee arthroplasty with a Total Condylar III type prosthesis. Clin Orthop Relat Res 1987; (221) 272-277
- 82 Rand JA. Revision total knee arthroplasty using the total condylar III prosthesis. J Arthroplasty 1991; 6 (3) 279-284
- 83 Rosenberg AG, Verner JJ, Galante JO. Clinical results of total knee revision using the Total Condylar III prosthesis. Clin Orthop Relat Res 1991; (273) 83-90
- 84 Kim YH, Kim JS. Revision total knee arthroplasty with use of a constrained condylar knee prosthesis. J Bone Joint Surg Am 2009; 91 (6) 1440-1447
- 85 Pour AE, Parvizi J, Slenker N, Purtill JJ, Sharkey PF. Rotating hinged total knee replacement: use with caution. J Bone Joint Surg Am 2007; 89 (8) 1735-1741
- 86 Inglis AE, Walker PS. Revision of failed knee replacements using fixed-axis hinges. J Bone Joint Surg Br 1991; 73 (5) 757-761
- 87 Kester MA, Cook SD, Harding AF, Rodriguez RP, Pipkin CS. An evaluation of the mechanical failure modalities of a rotating hinge knee prosthesis. Clin Orthop Relat Res 1988; (228) 156-163
- 88 Rand JA, Chao EY, Stauffer RN. Kinematic rotating-hinge total knee arthroplasty. J Bone Joint Surg Am 1987; 69 (4) 489-497
- 89 Barrack RL. Evolution of the rotating hinge for complex total knee arthroplasty. Clin Orthop Relat Res 2001; (392) 292-299
- 90 Baker P, Critchley R, Gray A , et al. Mid-term survival following primary hinged
total knee replacement is good irrespective of the indication for surgery. Knee Surg
Sports Traumatol Arthrosc 2014; 22 (3) 599-608
MissingFormLabel
- 91 Böhm P, Holy T. Is there a future for hinged prostheses in primary total knee arthroplasty? A 20-year survivorship analysis of the Blauth prosthesis. J Bone Joint Surg Br 1998; 80 (2) 302-309
- 92 Petrou G, Petrou H, Tilkeridis C , et al. Medium-term results with a primary cemented rotating-hinge total knee replacement. A 7- to 15-year follow-up. J Bone Joint Surg Br 2004; 86 (6) 813-817
- 93 Appleton P, Moran M, Houshian S, Robinson CM. Distal femoral fractures treated by hinged total knee replacement in elderly patients. J Bone Joint Surg Br 2006; 88 (8) 1065-1070
- 94 Mavrodontidis AN, Andrikoula SI, Kontogeorgakos VA , et al. Application of the Endomodel rotating hinge knee prosthesis for knee osteoarthritis. J Surg Orthop Adv 2008; 17 (3) 179-184
- 95 Smith TH, Gad BV, Klika AK, Styron JF, Joyce TA, Barsoum WK. Comparison of mechanical and nonmechanical failure rates associated with rotating hinged total knee arthroplasty in nontumor patients. J Arthroplasty 2013; 28 (1) 62-7.e1
- 96 Joshi N, Navarro-Quilis A. Is there a place for rotating-hinge arthroplasty in knee revision surgery for aseptic loosening?. J Arthroplasty 2008; 23 (8) 1204-1211
- 97 Deehan DJ, Murray J, Birdsall PD, Holland JP, Pinder IM. The role of the rotating hinge prosthesis in the salvage arthroplasty setting. J Arthroplasty 2008; 23 (5) 683-688
- 98 Springer BD, Hanssen AD, Sim FH, Lewallen DG. The kinematic rotating hinge prosthesis for complex knee arthroplasty. Clin Orthop Relat Res 2001; (392) 283-291