Complications after total knee arthroplasty
A comprehensive report
Published online: Dec 27 2004
Petra FROSCH, Jens DECKING, Christoph THEIS, Philipp DREES, Carsten SCHOELLNER, Anke ECKARDT
From Mainz University School of Medicine, Mainz, Germany
Abstract
In most reports of complications following TKA, the
method of assessment and report of complications is
not defined specifically. It is thus unclear whether
certain complications did not occur or were simply
not assessed at all. A detailed list of possible complications
following TKA was developed, and the
occurence of complications in 567 primary TKAs
was followed up meticulously according to this list
for one year postoperatively.
The proportion of knees with complications was
23.6%. A revision operation was performed in 5.6%.
The most frequent complication was delayed wound
healing.
Only a worldwide accepted standard list of welldefined
complications will allow comparison of
future studies on complications in TKA. For purposes
of quality control, the amount of detail recorded
must be weighed carefully against its practical value.