RT Journal Article
SR Electronic
T1 Failed knee replacement: incorrect indication?
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e230829
DO 10.1136/bcr-2019-230829
VO 12
IS 9
A1 George Ampat
A1 Emma Tixerant
YR 2019
UL http://casereports.bmj.com/content/12/9/e230829.abstract
AB A 52-year-old woman sustained a direct soft tissue injury to the right knee following a fall onto the right knee. X-rays did not identify any bony injury. Physiotherapy decreased pain but instability persisted. MRI scans identified early degeneration. An orthopaedic opinion recommended total knee replacement. Following a total knee replacement, the pain has worsened and she remains functionally impaired 2 years following the surgical intervention. Knee replacements are commonly performed successful surgical interventions. The increased numbers of replacements might be due to the lowered threshold in recommending surgical intervention by health professionals. This may increase the failure rate. It also raises the question whether adequate non-operative measures were attempted?