Escamilla VC, Domínguez MJJ, Sierra MO

Language: Spanish
References: 11
Page: 18-21
PDF size: 72.95 Kb.

ABSTRACT

Introduction: Total knee replacement is the first choice therapeutic option for the knee arthroses; grade III, in patients older than 60 years. This treatment permits the recuperation of the movement and the reintegration of the patients to his daily routines. The procedure is not free of early or late postoperatory complications as the followings: deep vein thrombosis, pulmonary thromboemboly, infection, fracture, articular stiffness, and neural injuries. Objective: To search retrospectively the frequency of complications of total knee replacements carried in our hospital in those patients who had at least a follow-up of three years. Material and methods: It represents a descriptive and retrospective study of a successive series of patients operated between 1990 and 2003. One hundred and fourteen charts of both sexes and ages between 19 and 88 years were collected. Results: Among the postoperatory complications there were 5 dehiscences (3.5%), symptomatic deep vein thromboses in 4 cases (2.8%), infection around the prostheses in 14 cases (9.9%) and fracture of the femur in 4 patients (2.8%). Conclusions: The most frequent complication was infection, associated with several risk factors. Deep vein thrombosis was less frequent due to the usual preventive treatment.

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