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Convened under the auspicious of esteemed endorsers - ISTA

Convened under the auspicious of esteemed endorsers - ISTA

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patients having staged bilateral procedures. The mean follow up was 84 months (range 24 – 204months). The mean age was 45 (range 26 – 59) and <strong>the</strong> female to male ratio was 7.6:1. 70patients were reviewed giving a follow up rate <strong>of</strong> 82%. The mean Oxford Knee Score was 18.5pre-operatively (range 3- 32) and 34.3 post-operatively (range 11- 47). The Melbourne PatellaScore was 9.6 pre-operatively (range 3- 30) and 20 post-operatively (range 11- 30). PatientSatisfaction Scores were excellent (54%), good (29%), fair (8.5%) and poor (8.5%). 4 knees in 3patients were converted to a patello-femoral arthroplasty, giving a 10 year survival rate <strong>of</strong>96.1%.This procedure <strong>of</strong>fers an alternative to patello-femoral arthroplasty for younger patients withisolated patello-femoral arthritis.Poster: 93Post-Operative Morbidity and Mortality Associated With Primary TotalKnee and Unicompartmental Knee Arthroplasty*Neil Sheth - OrthoCarolina - Charlotte, USANick Brown - Rush University - Chicago, USAMario Moric - Rush University - Chicago, USAKeith Berend - Joint Implant Surgery, Inc. - New Albany, USAMichael Edward Berend - - Mooresville, USA*Email: neilshethmd@gmail.comINTRODUCTION: The purpose <strong>of</strong> this study was to compare <strong>the</strong> incidence <strong>of</strong> post-operativecomplications (within 90 days) following primary total knee arthroplasty (TKA) as compared tounicompartmental knee arthroplasty (UKA).METHODS: 1,067 Consecutive patients were retrospectively reviewed over 5 years at a singleinstitution; 853 <strong>under</strong>went primary TKA and 214 <strong>under</strong>went UKA. Bilateral procedures anddiagnoses o<strong>the</strong>r than osteoarthritis were excluded. Both groups were matched for age, however<strong>the</strong>re were more females in <strong>the</strong> TKA group (72% vs. 57%; p = 0.021). Body mass index andCharlson Co-morbidity index scores were significantly higher in <strong>the</strong> TKA group (33.1 vs. 28.6;p < 0.001 and 0.78 vs 0.47; p < 0.01, respectively).RESULTS: Seventy-four (9%) TKA patients had a major post-operative complicationcompared to four (1.9%) UKA patients (p < 0.001). Manipulation <strong>under</strong> anes<strong>the</strong>sia (4.8% vs.0.5%; p = 0.0013), blood transfusions (4.8% vs. 0%; p < 0.001) and admission to an intensivecare unit (2.4% vs. 0%; p=0.01) were more common following TKA than UKA. SeventeenTKA patients (2.0%) required a re-operation compared to one UKA patient (p < 0. 001) and 61TKA patients (7.2%) were re-admitted to <strong>the</strong> hospital for a secondary intervention compared totwo (1%) (p< 0. 001) UKA patients. Length <strong>of</strong> stay was longer following TKA (4.1 days vs. 2.0file:///E|/<strong>ISTA</strong>2010-Abstracts.htm[12/7/2011 3:15:47 PM]

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