This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow CME: Take the exam for this article:
 Adult Knee Reconstruction Test 2: Primary Total Knee Arthroplasty
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gill, G. S.
Right arrow Articles by Joshi, A. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gill, G. S.
Right arrow Articles by Joshi, A. B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?
The Journal of Bone and Joint Surgery (American) 85:432-435 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Scientific Article

Mortality Following Primary Total Knee Arthroplasty

Gurdev S. Gill, MD, David Mills, MD and Atul B. Joshi, MB, MCh(Orth), FRCS

Investigation performed at Covenant Medical Center, Lubbock, Texas

Gurdev S. Gill, MD
David Mills, MD
Atul B. Joshi, MB, MCh(Orth), FRCS
3601 22nd Place, Lubbock, Texas 79410. E-mail address for G.S. Gill: ggills{at}aol.com E-mail address for A.B. Joshi: sajoshi@pol.net

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Background: Total joint arthroplasty is one of the most successful orthopaedic surgical procedures. However, it carries a risk of perioperative mortality. The purpose of this study was to determine the mortality rate for patients undergoing primary total knee arthroplasty in a private-practice setting involving one surgeon in a nonteaching institution.

Methods: We analyzed 3048 consecutive primary total knee arthroplasties, performed between July 1976 and December 1996, with respect to mortality data (deaths that occurred intraoperatively, during hospitalization, and within ninety days after surgery) and comorbidities (major cardiovascular disease).

Results: The mortality rate was 0.46% (fourteen patients; one death per 217 procedures) within ninety days after primary total knee arthroplasty.

Conclusions: Increasing patient age and the presence of associated cardiovascular comorbidities were identified as risk factors for mortality. This information, we believe, is useful to patients, their families, physicians, and health-care planners in deciding when a total knee arthroplasty is appropriate.

Level of Evidence: Prognostic study, Level II-1 (retrospective study). See Instructions to Authors for a complete description of levels of evidence.



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
J. Sanchez-Sotelo, J. W. Sperling, and B. F. Morrey
Ninety-Day Mortality After Total Elbow Arthroplasty
J. Bone Joint Surg. Am., July 1, 2007; 89(7): 1449 - 1451.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. Restrepo, J. Parvizi, T. Dietrich, and T. A. Einhorn
Safety of Simultaneous Bilateral Total Knee Arthroplasty. A Meta-Analysis
J. Bone Joint Surg. Am., June 1, 2007; 89(6): 1220 - 1226.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. Parvizi, A. Mui, J. J. Purtill, P. F. Sharkey, W. J. Hozack, and R. H. Rothman
Total Joint Arthroplasty: When Do Fatal or Near-Fatal Complications Occur?
J. Bone Joint Surg. Am., January 1, 2007; 89(1): 27 - 32.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. L. Pierson, T. J. Hannon, and D. R. Earles
A Blood-Conservation Algorithm to Reduce Blood Transfusions After Total Hip and Knee Arthroplasty
J. Bone Joint Surg. Am., July 1, 2004; 86(7): 1512 - 1518.
[Abstract] [Full Text] [PDF]