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接受全膝关节置换术的炎性关节病患者的围手术期并发症

Perioperative Complications in Patients with Inflammatory Arthropathy Undergoing Total Knee Arthroplasty.

作者信息

Schnaser Erik A, Browne James A, Padgett Douglas E, Figgie Mark P, D'Apuzzo Michele R

机构信息

Desert Orthopedic Center, Eisenhower Medical Center, Rancho Mirage, California.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia.

出版信息

J Arthroplasty. 2015 Sep;30(9 Suppl):76-80. doi: 10.1016/j.arth.2014.12.040. Epub 2015 Jun 3.

Abstract

Little data exists comparing acute post-operative outcomes in patients with different types of inflammatory arthritis (IA) after undergoing a total knee arthroplasty (TKA). Our objectives were to compare perioperative complications and determine the most common complications between the different IA subtypes compared with patients with osteoarthritis undergoing primary TKA. We found significant differences when comparing complications within the different subtypes of IA. RA patients, despite having a greater number of comorbidities had a reduced rate of medical complications postoperatively compared to the OA cohort. All of the inflammatory subtypes had a higher rate of orthopedic complications postoperatively compared to the OA group except for patients with AS. However, ankylosing spondylitis had the highest mortality rate as well as medical complication rate among the subtypes.

摘要

关于不同类型炎性关节炎(IA)患者在接受全膝关节置换术(TKA)后的急性术后结局的比较数据很少。我们的目标是比较围手术期并发症,并确定不同IA亚型与接受初次TKA的骨关节炎患者相比最常见的并发症。我们发现,比较不同IA亚型内的并发症时存在显著差异。类风湿性关节炎(RA)患者尽管合并症较多,但与骨关节炎(OA)队列相比,术后医疗并发症发生率较低。除强直性脊柱炎(AS)患者外,所有炎性亚型术后骨科并发症发生率均高于OA组。然而,在各亚型中,强直性脊柱炎的死亡率和医疗并发症发生率最高。

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