膝关节镜检查后六个月内进行全膝关节置换术与术后并发症增加相关。
Total Knee Arthroplasty Within Six Months After Knee Arthroscopy Is Associated With Increased Postoperative Complications.
作者信息
Werner Brian C, Burrus M Tyrrell, Novicoff Wendy M, Browne James A
机构信息
Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, Virginia.
出版信息
J Arthroplasty. 2015 Aug;30(8):1313-6. doi: 10.1016/j.arth.2015.02.023. Epub 2015 Feb 28.
A national database was queried for patients who underwent TKA following ipsilateral knee arthroscopy. Three cohorts were created: TKA within 6 months of knee arthroscopy (n=681), TKA between 6 months and 1 year after knee arthroscopy (n=1301) and TKA between 1 and 2 years after knee arthroscopy (n=1069). An age-matched control group of TKA without prior knee arthroscopy was also created (n=37,235). The incidences of infection (OR 2.0, P=0.004), stiffness (OR 2.0, P=0.001) and VTE (OR 1.6, P=0.047) were higher in patients who underwent TKA within 6 months after knee arthroscopy compared to controls. There was no increase in complications when TKA was performed more than six months after knee arthroscopy.
对国家数据库进行查询，以获取同侧膝关节镜检查后接受全膝关节置换术（TKA）的患者信息。创建了三个队列：膝关节镜检查后6个月内进行TKA的患者（n = 681）、膝关节镜检查后6个月至1年进行TKA的患者（n = 1301）以及膝关节镜检查后1至2年进行TKA的患者（n = 1069）。还创建了一个年龄匹配的未进行过膝关节镜检查的TKA对照组（n = 37,235）。与对照组相比，膝关节镜检查后6个月内接受TKA的患者感染发生率（比值比[OR] 2.0，P = 0.004）、僵硬发生率（OR 2.0，P = 0.001）和静脉血栓栓塞（VTE）发生率（OR 1.6，P = 0.047）更高。膝关节镜检查后超过6个月进行TKA时，并发症没有增加。
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