The Fate of the Remaining Knee(s) or Hip(s) in Osteoarthritic Patients Undergoing a Primary TKA or THA

Nov 19, 2013The Journal of arthroplasty

What happens to the other knee or hip in osteoarthritis patients after their first knee or hip replacement

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Abstract

In a follow-up of 5,352 patients with idiopathic osteoarthritis, the mean follow-up duration was 17.8 years.

  • After a total knee arthroplasty (TKA), 46.0% of patients underwent a contralateral TKA.
  • Only 2.3% of patients had an ipsilateral total hip arthroplasty (THA) following a TKA.
  • 1.3% of patients received a contralateral THA after an initial TKA.
  • Following an initial THA, 30.5% of patients had a contralateral THA.
  • 6.8% of patients underwent an ipsilateral TKA after an initial THA.
  • Cox regression analysis indicated that a higher body mass index (BMI) was the only risk factor for a second THA.

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Full Text

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