减重手术在全关节置换术前并不能显著改善关节置换术后的手术结果。
Bariatric surgery prior to total joint arthroplasty may not provide dramatic improvements in post-arthroplasty surgical outcomes.
机构信息
Surgical Outcomes and Analysis Department, Kaiser Permanente, San Diego, California.
Department of Surgery, Kaiser Permanente, Richmond, California.
出版信息
J Arthroplasty. 2014 Jul;29(7):1359-64. doi: 10.1016/j.arth.2014.02.021. Epub 2014 Feb 26.
Abstract
This study compared the total joint arthroplasty (TJA) surgical outcomes of patients who had bariatric surgery prior to TJA to TJA patients who were candidates but did not have bariatric surgery. Patients were retrospectively grouped into: Group 1 (n = 69), those with bariatric surgery >2 years prior to TJA, Group 2 (n = 102), those with surgery within 2 years of TJA, and Group 3 (n = 11,032), those without bariatric surgery. In Group 1, 2.9% (95% CI 0.0-6.9%) had complications within 1 year compared to 5.9% (95% CI 1.3%-10.4%) in Group 2, and 4.1% (95% CI 3.8%-4.5%) in Group 3. Ninety-day readmission (7.2%, 95% CI 1.1%-13.4%) and revision density (3.4/100 years of observation) was highest in Group 1. Bariatric surgery prior to TJA may not provide dramatic improvements in post-operative TJA surgical outcomes.
摘要
这项研究比较了在接受全关节置换术 (TJA) 之前接受过减重手术的患者与 TJA 候选但未接受减重手术的患者的 TJA 手术结果。患者被回顾性地分为：第 1 组（n=69），有 2 年以上减重手术史；第 2 组（n=102），有 2 年内接受手术史；第 3 组（n=11032），无减重手术史。在第 1 组中，1 年内并发症发生率为 2.9%（95% CI 0.0-6.9%），第 2 组为 5.9%（95% CI 1.3%-10.4%），第 3 组为 4.1%（95% CI 3.8%-4.5%）。第 1 组的 90 天再入院率（7.2%，95% CI 1.1%-13.4%）和翻修密度（3.4/100 年观察）最高。在 TJA 之前进行减重手术可能不会显著改善术后 TJA 手术结果。
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