Dieterich James D, Fields Adam C, Moucha Calin S
Department of Orthopaedics, Icahn School of Medicine at Mount Sinai.
J Arthroplasty. 2014 Nov;29(11):2163-6. doi: 10.1016/j.arth.2014.07.004. Epub 2014 Jul 3.
Few studies have assessed postoperative complications in revision total knee arthroplasty (rTKA). The aim of this study was to assess which preoperative factors are associated with postoperative complications in rTKA. Using the National Surgical Quality Improvement (NSQIP) database, we identified patients undergoing rTKA from 2010 to 2012. Patient demographics, comorbidities, and complications within thirty days of surgery were analyzed. A total of 3421 patients underwent rTKA. After adjusted analysis, dialysis (P = 0.016) was associated with minor complications. Male gender (P = 0.03), older age (P = 0.029), ASA class >2 (P = 0.017), wound class >2 (P < 0.0001), emergency operation (P = 0.038), and pulmonary comorbidity (P = 0.047) were associated with major complications.
很少有研究评估全膝关节置换翻修术(rTKA)后的并发症。本研究的目的是评估哪些术前因素与rTKA术后并发症相关。利用国家外科质量改进(NSQIP)数据库,我们确定了2010年至2012年接受rTKA的患者。分析了患者的人口统计学特征、合并症以及术后30天内的并发症。共有3421例患者接受了rTKA。经过校正分析,透析(P = 0.016)与轻微并发症相关。男性(P = 0.03)、年龄较大(P = 0.029)、美国麻醉医师协会(ASA)分级>2(P = 0.017)、伤口分级>2(P < 0.0001)、急诊手术(P = 0.038)以及肺部合并症(P = 0.047)与严重并发症相关。