University of California, Los Angeles, Department of Orthopaedic Surgery, Los Angeles, California, USA.
Am J Sports Med. 2012 Jun;40(6):1402-5. doi: 10.1177/0363546512443043. Epub 2012 Apr 10.
Complications of arthroscopic meniscectomy in the older population have not been established.
To determine the risk and relative risk of developing pyogenic arthritis (PA), a deep vein thrombosis (DVT), and pulmonary embolism (PE) in an older population of patients who have undergone arthroscopic meniscectomy.
Case series; Level of evidence, 4.
Men and women ≥65 years old who underwent procedures coded as CPT-29880 (medial and lateral meniscectomy) and CPT-29881 (medial or lateral meniscectomy) were identified in the Medicare Standard Analytic Files database from 2005 to 2008. Identified patients were analyzed for gender and postoperative complications, including PA, DVT, and PE, occurring within 90 days of the index operation.
Overall, 314,578 patients (119,814 men and 194,764 women) were identified. With respect to the Current Procedural Terminology codes, 131,420 patients were coded 29880 and 183,158 patients were coded 29881. In the study population, 0.4% (1107 patients) developed PA, 0.8% (2507 patients) developed a DVT, and 0.3% (982 patients) developed a PE. Among male patients, 0.4% developed PA, 0.7% developed a DVT, and 0.2% developed a PE. Among female patients, 0.3% developed PA, 0.8% developed a DVT, and 0.3% developed a PE. Overall, men had a statistically significant higher relative risk of PA and women had a statistically significant higher relative risk of DVT and PE.
Postoperative complications, including PA, DVTs, and PEs, are rare in patients ≥65 years old. However, gender-specific differences in the rate and type of postoperative complications may exist. Further studies in this population are warranted.
关节镜下半月板切除术在老年人群中的并发症尚未确定。
确定在接受关节镜下半月板切除术的老年患者中，发生化脓性关节炎 (PA)、深静脉血栓形成 (DVT) 和肺栓塞 (PE) 的风险和相对风险。
病例系列；证据水平，4 级。
从 2005 年至 2008 年，在 Medicare Standard Analytic Files 数据库中确定了接受 CPT-29880（内侧和外侧半月板切除术）和 CPT-29881（内侧或外侧半月板切除术）编码的年龄≥65 岁的男性和女性患者。对这些患者进行分析，以确定性别和术后 90 天内发生的并发症，包括 PA、DVT 和 PE。
总体而言，共确定了 314578 例患者（119814 例男性和 194764 例女性）。根据当前操作术语代码，有 131420 例患者被编码为 29880，183158 例患者被编码为 29881。在研究人群中，0.4%（1107 例）发生 PA，0.8%（2507 例）发生 DVT，0.3%（982 例）发生 PE。在男性患者中，0.4%发生 PA，0.7%发生 DVT，0.2%发生 PE。在女性患者中，0.3%发生 PA，0.8%发生 DVT，0.3%发生 PE。总体而言，男性发生 PA 的相对风险较高，女性发生 DVT 和 PE 的相对风险较高，差异均有统计学意义。
年龄≥65 岁的患者术后并发症（包括 PA、DVT 和 PE）罕见。然而，可能存在与性别相关的术后并发症发生率和类型的差异。需要在该人群中进一步开展研究。
