Complications of Total Knee Replacement Surgery

A Comprehensive Guide to the Literature for Personal Injury Lawyers

Publisher: Medifocus Legal
Publication Date: July 15, 2016
Number of Pages: 142
Total knee replacement surgery, also known as total knee arthroplasty, has become one of the most commonly performed orthopedic procedures. An estimated 650,000 total knee replacements are performed in the U.S. annually, a number that is projected to increase to nearly 3.5 million by 2030. During this procedure, the surgeon removes the diseased joint surfaces of the knee followed by resurfacing and implantation of a metal and polyethylene knee prosthesis.

The most common cause of chronic knee pain and disability is arthritis, which includes osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis. Indications for total knee replacement surgery include:

1. Severe knee pain and stiffness that interfere with routine activities of daily living such as walking or running.
2. Moderate or severe knee pain that is not relieved by rest during the day or at night.
3. Knee deformity that severely limits function.
4. Failure to achieve significant improvement with more conservative treatments such as anti-inflammatory medications, cortisone injections, lubricating injections, or physical therapy.

Although modern total knee replacement surgery is generally considered to be a highly safe and effective procedure, complications can and do occur in a relatively small number of cases. According to the American Academy of Orthopedic Surgeons, serious complications develop in about 2% of patients undergoing total knee arthroplasty. The most common complications include:

1. Superficial wound infection or deep wound infection requiring revision surgery and removal of the implant.
2. Deep venous thrombosis (blood clots).
3. Pulmonary embolism that may be life-threatening.
4. Eventual wearing down and loosening of the knee prosthesis.

The MediFocus Literature Guide to Complications of Total Knee Replacement Surgery is a comprehensive reference guide to the medical literature for personal injury attorneys with a client who developed a serious intraoperative or postoperative complication from a total knee arthroplasty procedure. This unique Guide consists of over 220 hand-selected references published in peer-reviewed journals with links to the article abstracts and FREE online access to full-text copies of 58 journal articles. The Guide captures the entire spectrum of complications of total knee replacement that have been documented and reported in the medical literature during the past decade.
Complications of Total Knee Replacement Surgery is a one-of-a-kind literature reference Guide that includes:

• A comprehensive bibliography of 222 journal article references indexed in MEDLINE published in well respected medical and scientific journals.
• Online access to the abstracts (summaries) of the articles.
• Online access to the free full-text version of 58 articles.
• Links to full-text sources of other articles that are available for purchase directly from individual journal publishers.
• A unique "Author Directory" consisting of the names and institutional affiliations of experts who have published and have specialized knowledge about Complications of Total Knee Replacement Surgery. The "Author Directory" is a valuable resource for quickly identifying and locating experts for case reviews, opinions, and testimony.

Select examples of topics that are covered by the articles referenced in this Guidebook include:

• Variation in hospital-level risk-stratification complication rates following elective primary total knee arthroplasty.
• Increased risk of complications and urinary tract infections in obese patients undergoing total knee replacement.
• Thirty-day postoperative complications and mortality following total knee arthroplasty: incidence and risk factors.
• Patellar resurfacing complications in total knee arthroplasty and how to avoid them.
• Cognitive dysfunction after fast-track total knee replacement.
• Risk factors for revision arthroplasty within 10 years of total knee arthroplasty.
• Rates and causes of hospital readmission after total knee replacement.
• Pulmonary embolism after elective primary total knee arthroplasty.
• Current guidelines for prevention of venous thromboembolic disease after total knee replacement.
• The influence of obesity on the complication rate and outcome of total knee arthroplasty.
• The effect of patellar replacement technique on patellofemoral complications and anterior knee pain.
• Periprosthetic fractures in the distal femur following total knee arthroplasty: a review and guide to management.

The MediFocus Literature Guide on Complications of Total Knee Replacement Surgery is available in two formats:
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