Orthopedics, Vol 31, No.3, March 2008
Author: Richard J. Kearns,MD, Mark R. Brinker,MD and Daniel P. O'Connor, PhD
Click here to read the entire
published article by Dr Brinker
This study evaluated 78 patients who fell after total knee arthroplasty. Eight patients (10.3%) had soft-tissue injuries that led to a poor clinical course (deep infection, unplanned return to the operating room, temporary or permanent resection arthroplasty, or knee arthrodesis).
Factors related to a poor clinical course included copious bleeding from the surgical wound immediately
after falling, falling within 8 weeks of arthroplasty, and rupturing the parapatellar surgical wound and quadriceps repair. Patients who fall and have bleeding from their surgical wound should receive emergency surgical irrigation and debridement. A treatment protocol for patients who fall after
total knee arthroplasty is presented.