{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:36:44Z","timestamp":1740148604829,"version":"3.37.3"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:00:00Z","timestamp":1733529600000},"content-version":"vor","delay-in-days":67,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Identificar as causas de revis\u00e3o de artroplastia total do joelho em um centro de refer\u00eancia no Brasil.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Trata-se de uma s\u00e9rie de casos, com 80 pacientes submetidos \u00e0 cirurgia de revis\u00e3o de artroplastia total do joelho (RATJ) em um centro de refer\u00eancia em cirurgia do joelho, no per\u00edodo entre agosto de 2019 e novembro de 2021, com m\u00e9dia de idade de 69,6 anos. Desses pacientes, 60,23% eram do sexo feminino e 39,77% do sexo masculino. O \u00edndice de massa corporal (IMC) m\u00e9dio foi de 30,23\u2009kg\/m2. As causas de falha da ATJ foram definidas como: infec\u00e7\u00e3o periprot\u00e9tica conforme crit\u00e9rios do 2018 Internacional Consensus Meeting, instabilidade ligamentar, limita\u00e7\u00e3o de arco de movimento, fratura periprot\u00e9tica, mal alinhamento, soltura ass\u00e9ptica, dor devido \u00e0 n\u00e3o substitui\u00e7\u00e3o da cartilagem patelar, desgaste do polietileno, fratura dos implantes, insufici\u00eancia do mecanismo extensor.<\/jats:p><jats:p>\n          Resultados\u2003A infec\u00e7\u00e3o articular periprot\u00e9tica (IAP) foi a principal causa de revis\u00e3o de artroplastia total do joelho (ATJ), correspondendo a 47,73% dos casos. A soltura ass\u00e9ptica de um ou mais componentes representou o segundo motivo mais frequente para causa de falha de ATJ, acarretando 35,23% das revis\u00f5es. Limita\u00e7\u00e3o do arco de movimento representou a terceira mais frequente causa, sendo respons\u00e1vel por 5,68% das cirurgias. Instabilidade foi a 4\u00aa raz\u00e3o mais frequente para RATJ, ocorrendo em 4,55% dos pacientes. As demais causas de revis\u00e3o foram: fratura periprot\u00e9tica (3,41%), insufici\u00eancia por ruptura do mecanismo extensor (2,27%), dor atribu\u00edda \u00e0 n\u00e3o substitui\u00e7\u00e3o da cartilagem patelar (1,14%).<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003A infec\u00e7\u00e3o articular periprot\u00e9tica foi a causa mais frequente de revis\u00e3o de ATJ em nossa s\u00e9rie. Outras raz\u00f5es de falhas de ATJ foram, em ordem decrescente: soltura ass\u00e9ptica, limita\u00e7\u00e3o do arco de movimento e instabilidade.<\/jats:p>","DOI":"10.1055\/s-0042-1757304","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T23:30:21Z","timestamp":1733614221000},"page":"e696-e701","source":"Crossref","is-referenced-by-count":0,"title":["Causas de revis\u00e3o de artroplastias totais do joelho em um hospital terci\u00e1rio no Brasil"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5855-5808","authenticated-orcid":false,"given":"Alan de Paula","family":"Mozella","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Centro de Cirurgia do Joelho, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7315-0961","authenticated-orcid":false,"given":"Hugo Alexandre de Ara\u00fajo Barros","family":"Cobra","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Centro de Cirurgia do Joelho, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8815-2161","authenticated-orcid":false,"given":"Sandra Tie Nishibe","family":"Minamoto","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Centro de Cirurgia do Joelho, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3978-4888","authenticated-orcid":false,"given":"Rodrigo","family":"Salim","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de S\u00e3o Paulo (USP), S\u00e3o Paulo, SP, Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2556-3446","authenticated-orcid":false,"given":"Ana Carolina","family":"Leal","sequence":"additional","affiliation":[{"name":"Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,7]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/s-0034-1396014","article-title":"Modes of failure of total knee arthroplasty: registries and realities","volume":"28","author":"M BP Siqueira","year":"2015","journal-title":"J Knee Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jor.2020.12.008","article-title":"Reasons for failure in primary total knee arthroplasty - An analysis of prospectively collected registry data","volume":"23","author":"D T Mathis","year":"2020","journal-title":"J Orthop"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"2938","DOI":"10.1016\/j.arth.2020.05.050","article-title":"Why Do Revision Total Knee Arthroplasties Fail? 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