March 09, 2017
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Solid organ transplant did not impact early patient survivorship after TKA

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Investigators of this early follow-up study found solid organ transplant patient survivorship was not affected by total knee arthroplasty.

“However, [solid organ transplant] SOT patients may have a higher risk of perioperative complications and a lower implant survivorship than the general population of TKA patients at midterm follow-up,” the researchers wrote.

Researchers retrospectively reviewed the mortality, implant survivorship and complications of 76 patients who underwent a total of 96 knee arthroplasties (TKAs) after solid organ transplantation. Patients were followed for a mean of 4.3 years and had a mean age of 66 years at index surgery. Patient and implant survivorship were analyzed and compared among patient subgroups.

Results from this study showed that at 1 year, 2 years and 5 years after TKA, the overall mortality rates were 2.6%, 7.9% and 13.2%, respectively. Investigators noted that at 2 years and 5 years, the solid organ transplant patient survivorship was 92% and 82%, respectively. At 2 years, the implant survivorship without component revision or implant removal was 98%, and at 5 years it was 93%. According to researchers, the rate of perioperative complications was high (12.5%) and included periprosthetic fractures and deep periprosthetic infection. by Monica Jaramillo

Disclosures : Ledford reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.