NIHR Leeds Musculoskeletal Biomedical Research Unit, Chapel Allerton Hospital, Harehills Lane, Leeds LS7 4SA, UK.
Bone Joint J. 2013 Jan;95-B(1):122-6. doi: 10.1302/0301-620X.95B1.30908.
The results of hip and knee replacement surgery are generally regarded as positive for patients. Nonetheless, they are both major operations and have recognised complications. We present a review of relevant claims made to the National Health Service Litigation Authority. Between 1995 and 2010 there were 1004 claims to a value of £41.5 million following hip replacement surgery and 523 claims to a value of £21 million for knee replacement. The most common complaint after hip surgery was related to residual neurological deficit, whereas after knee replacement it was related to infection. Vascular complications resulted in the highest costs per case in each group.Although there has been a large increase in the number of operations performed, there has not been a corresponding relative increase in litigation. The reasons for litigation have remained largely unchanged over time after hip replacement. In the case of knee replacement, although there has been a reduction in claims for infection, there has been an increase in claims for technical errors. There has also been a rise in claims for non-specified dissatisfaction. This information is of value to surgeons and can be used to minimise the potential mismatch between patient expectation, informed consent and outcome.
髋关节和膝关节置换手术的结果通常被认为对患者是积极的。然而，这两种手术都是大手术，都有公认的并发症。我们回顾了向国家卫生服务局诉讼局提出的相关索赔。在 1995 年至 2010 年间，髋关节置换手术后有 1004 项索赔，价值 4150 万英镑，膝关节置换手术后有 523 项索赔，价值 2100 万英镑。髋关节手术后最常见的投诉与残留的神经缺陷有关，而膝关节手术后则与感染有关。血管并发症导致每组的每个病例的成本最高。尽管手术数量大幅增加，但诉讼相对增加的幅度并不大。髋关节置换手术后，诉讼的原因在很长一段时间内基本保持不变。对于膝关节置换手术，尽管感染索赔有所减少，但技术失误索赔有所增加。非特定不满的索赔也有所增加。这些信息对外科医生很有价值，可以用来尽量减少患者期望、知情同意和结果之间的潜在不匹配。
