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类风湿关节炎患者全髋关节置换术的并发症

Complications of total hip-replacement arthorplasty in patients with rheumatoid arthritis.

作者信息

Poss R, Ewald F C, Thomas W H, Sledge C B

出版信息

J Bone Joint Surg Am. 1976 Dec;58(8):1130-3.

PMID:1002755
Abstract

During the period 1969 through 1974, 716 total hip-replacement arthorplasties were performed. The results of the surgery in 275 cases of rheumatoid arthritis as regards complications were compared with those in 382 procedures in cases of osteoarthritis. In contrast to the reports of others,the incidence of deep would infection in the two groups was found to be equal. Patients undergoing total hip-replacement arthroplasty as a revision of a previous operation had a substantially increased risk of infection. Patients with rheumatoid arthritis, however, were more subject to certain other complication (intraoperative fracture, difficulties with anesthesia, and malposition of prosthetic components), in addition to the complications that were predictable because of the involvement of multiple joints and the systemic disease process.

摘要

在1969年至1974年期间,共进行了716例全髋关节置换关节成形术。将275例类风湿性关节炎患者手术的并发症结果与382例骨关节炎患者手术的结果进行了比较。与其他报告相反,发现两组深部伤口感染的发生率相等。接受全髋关节置换关节成形术作为先前手术翻修的患者感染风险大幅增加。然而,类风湿性关节炎患者除了由于多关节受累和全身性疾病过程而可预测的并发症外,更容易出现某些其他并发症(术中骨折、麻醉困难和假体部件位置不当)。

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