FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2079214716> ?p ?o ?g. }

• W2079214716 endingPage "2200" @default.
• W2079214716 startingPage "2197" @default.
• W2079214716 abstract "Historically, polyethylene wear and its sequelae (osteolysis, late instability, aseptic loosening) were common causes for revision total knee arthroplasty (TKA). Recently, polyethylene manufacturing has become more consistent; furthermore, a clearer understanding of the importance of oxidation on polyethylene performance led to packaging of the polyethylene bearings in an inert environment. This improved the quality and consistency of polyethylene used in TKA, raising the question of whether different failure modes now predominate after TKA.The purpose of this study was to determine the current reasons for (1) early and (2) late failures after TKA at one high-volume arthroplasty center.We reviewed all first-time revision TKAs performed between 2001 and 2011 at one institution, yielding a group of 253 revision TKAs in 251 patients. Mean age at the time of revision was 64 years (SD 10 years). Mean time to revision was 35 months (SD 23 months). Preoperative evaluations, laboratory data, radiographs, and intraoperative findings were used to determine causes for revision. Early failure was defined as revision within 2 years of the index procedure. The primary failure mechanism was determined by the operating surgeon.Early failure accounted for 46% (116 of 253) of all revisions with infection (28 of 116 [24%]), instability (30 of 116 [26%]), and stiffness (21 of 116 [18%]) being the leading causes. Late failure accounted for 54% (137 of 253) of all revisions with the most common causes including infection (34 of 137 [25%]), instability (24 of 137 [18%]), and stiffness (19 of 253 [14%]). Polyethylene wear was implicated as the failure mechanism in 2% of early cases (two of 116) and 9% of late cases (13 of 137).In contrast to previous studies, wear-related implant failure in TKA was relatively uncommon in this series. Changes in polyethylene manufacturing, sterilization, and storage may have accounted for some of this difference; however, longer-term followup will be required to verify this finding. Infection, instability, and stiffness represent the most common causes of early and late failure. Strategies to improve outcomes in TKA should be aimed at infection prophylaxis and treatment, surgical technique, and patient selection.Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence." @default.
• W2079214716 created "2016-06-24" @default.
• W2079214716 creator A5003356072 @default.
• W2079214716 creator A5012855035 @default.
• W2079214716 creator A5025299067 @default.
• W2079214716 creator A5050470911 @default.
• W2079214716 date "2014-07-01" @default.
• W2079214716 modified "2023-10-10" @default.
• W2079214716 title "Current Modes of Failure in TKA: Infection, Instability, and Stiffness Predominate" @default.
• W2079214716 cites W2159737995 @default.
• W2079214716 cites W2408379000 @default.
• W2079214716 doi "https://doi.org/10.1007/s11999-014-3540-y" @default.
• W2079214716 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4048402" @default.
• W2079214716 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24615421" @default.
• W2079214716 hasPublicationYear "2014" @default.
• W2079214716 type Work @default.
• W2079214716 sameAs 2079214716 @default.
• W2079214716 citedByCount "218" @default.
• W2079214716 countsByYear W20792147162014 @default.
• W2079214716 countsByYear W20792147162015 @default.
• W2079214716 countsByYear W20792147162016 @default.
• W2079214716 countsByYear W20792147162017 @default.
• W2079214716 countsByYear W20792147162018 @default.
• W2079214716 countsByYear W20792147162019 @default.
• W2079214716 countsByYear W20792147162020 @default.
• W2079214716 countsByYear W20792147162021 @default.
• W2079214716 countsByYear W20792147162022 @default.
• W2079214716 countsByYear W20792147162023 @default.
• W2079214716 crossrefType "journal-article" @default.
• W2079214716 hasAuthorship W2079214716A5003356072 @default.
• W2079214716 hasAuthorship W2079214716A5012855035 @default.
• W2079214716 hasAuthorship W2079214716A5025299067 @default.
• W2079214716 hasAuthorship W2079214716A5050470911 @default.
• W2079214716 hasBestOaLocation W20792147161 @default.
• W2079214716 hasConcept C141071460 @default.
• W2079214716 hasConcept C159985019 @default.
• W2079214716 hasConcept C192562407 @default.
• W2079214716 hasConcept C2778336525 @default.
• W2079214716 hasConcept C2778715743 @default.
• W2079214716 hasConcept C2779751980 @default.
• W2079214716 hasConcept C2781282405 @default.
• W2079214716 hasConcept C29694066 @default.
• W2079214716 hasConcept C2984529727 @default.
• W2079214716 hasConcept C3017871827 @default.
• W2079214716 hasConcept C71924100 @default.
• W2079214716 hasConceptScore W2079214716C141071460 @default.
• W2079214716 hasConceptScore W2079214716C159985019 @default.
• W2079214716 hasConceptScore W2079214716C192562407 @default.
• W2079214716 hasConceptScore W2079214716C2778336525 @default.
• W2079214716 hasConceptScore W2079214716C2778715743 @default.
• W2079214716 hasConceptScore W2079214716C2779751980 @default.
• W2079214716 hasConceptScore W2079214716C2781282405 @default.
• W2079214716 hasConceptScore W2079214716C29694066 @default.
• W2079214716 hasConceptScore W2079214716C2984529727 @default.
• W2079214716 hasConceptScore W2079214716C3017871827 @default.
• W2079214716 hasConceptScore W2079214716C71924100 @default.
• W2079214716 hasIssue "7" @default.
• W2079214716 hasLocation W20792147161 @default.
• W2079214716 hasLocation W20792147162 @default.
• W2079214716 hasLocation W20792147163 @default.
• W2079214716 hasLocation W20792147164 @default.
• W2079214716 hasLocation W20792147165 @default.
• W2079214716 hasOpenAccess W2079214716 @default.
• W2079214716 hasPrimaryLocation W20792147161 @default.
• W2079214716 hasRelatedWork W1907701233 @default.
• W2079214716 hasRelatedWork W1946129082 @default.
• W2079214716 hasRelatedWork W2021277004 @default.
• W2079214716 hasRelatedWork W2059847203 @default.
• W2079214716 hasRelatedWork W2102427208 @default.
• W2079214716 hasRelatedWork W2313074446 @default.
• W2079214716 hasRelatedWork W2345090510 @default.
• W2079214716 hasRelatedWork W2392908088 @default.
• W2079214716 hasRelatedWork W3150734349 @default.
• W2079214716 hasRelatedWork W4231372662 @default.
• W2079214716 hasVolume "472" @default.
• W2079214716 isParatext "false" @default.
• W2079214716 isRetracted "false" @default.
• W2079214716 magId "2079214716" @default.
• W2079214716 workType "article" @default.