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The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty

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  • معلومة اضافية
    • Affiliation:
      a Department of Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, New York
      b Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia
    • Note:
      No outside funding was obtained for the completion of this research.
      Research was approved by the Research Subjects Review Board.
      One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2016.06.054.
    • Keywords:
      knee arthroplasty
      radiographs
      follow-up
      clinical management
      economics
    • Abstract:
      Background Radiographs are routinely used to evaluate patients postoperatively after total knee arthroplasty, but no evidence-based guidelines exist regarding their use. The purpose of this study is to quantify the use of radiographs within 2 years of primary total knee arthroplasty by one surgeon and to determine if routine studies in asymptomatic patients altered patient management.
    • Abstract:
      Results A total of 263 patients were identified; each patient had an average of 13.5 ± 3.8 individual radiographs obtained in 6.5 ± 1.7 series. Twelve radiographic series were noted to have abnormal findings by either the attending surgeon or by radiology report. Three of these patients underwent reoperation directly related to the findings; 2 for deep infections and 1 for extensor mechanism disruption. All 3 patients had reported abnormal symptoms when their films were obtained. The remaining 9 abnormal radiographic findings included focal lucencies or osteolysis, asymmetric spacer wear, a healing stress fracture, an inferior patellar avulsion fracture, and heterotopic ossification. No patient had symptoms attributable to these findings when the radiographs were obtained, and in no case was the management altered based on these finding.
    • Abstract:
      Conclusion This study suggests that the observed frequency of routine postoperative radiographs in asymptomatic patients may not be necessary in the first 2 years after primary total knee arthroplasty.
    • ISSN:
      0883-5403
    • Accession Number:
      10.1016/j.arth.2016.06.054
    • Accession Number:
      S0883540316303485
    • Copyright:
      © 2016 Elsevier Inc. All rights reserved.
  • Citations
    • ABNT:
      BESSETTE, M. C. et al. The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty. The Journal of Arthroplasty, [s. l.], v. 32, n. 1, p. 106–109, 2017. DOI 10.1016/j.arth.2016.06.054. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0883540316303485&custid=s8280428. Acesso em: 4 abr. 2020.
    • AMA:
      Bessette MC, Amsdell SL, Giordano BD, Kates SL. The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty. The Journal of Arthroplasty. 2017;32(1):106-109. doi:10.1016/j.arth.2016.06.054.
    • APA:
      Bessette, M. C., Amsdell, S. L., Giordano, B. D., & Kates, S. L. (2017). The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty. The Journal of Arthroplasty, 32(1), 106–109. https://doi.org/10.1016/j.arth.2016.06.054
    • Chicago/Turabian: Author-Date:
      Bessette, Matthew C., Simon L. Amsdell, Brian D. Giordano, and Stephen L. Kates. 2017. “The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty.” The Journal of Arthroplasty 32 (1): 106–9. doi:10.1016/j.arth.2016.06.054.
    • Harvard:
      Bessette, M. C. et al. (2017) ‘The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty’, The Journal of Arthroplasty, 32(1), pp. 106–109. doi: 10.1016/j.arth.2016.06.054.
    • Harvard: Australian:
      Bessette, MC, Amsdell, SL, Giordano, BD & Kates, SL 2017, ‘The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty’, The Journal of Arthroplasty, vol. 32, no. 1, pp. 106–109, viewed 4 April 2020, .
    • MLA:
      Bessette, Matthew C., et al. “The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty.” The Journal of Arthroplasty, vol. 32, no. 1, Jan. 2017, pp. 106–109. EBSCOhost, doi:10.1016/j.arth.2016.06.054.
    • Chicago/Turabian: Humanities:
      Bessette, Matthew C., Simon L. Amsdell, Brian D. Giordano, and Stephen L. Kates. “The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty.” The Journal of Arthroplasty 32, no. 1 (January 1, 2017): 106–9. doi:10.1016/j.arth.2016.06.054.
    • Vancouver/ICMJE:
      Bessette MC, Amsdell SL, Giordano BD, Kates SL. The Utility of Postoperative Radiographs 2 Years After Primary Total Knee Arthroplasty. The Journal of Arthroplasty [Internet]. 2017 Jan 1 [cited 2020 Apr 4];32(1):106–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0883540316303485&custid=s8280428