肥胖患者直接前路全髋关节置换术后伤口并发症风险高。
High Risk of Wound Complications Following Direct Anterior Total Hip Arthroplasty in Obese Patients.
作者信息
Watts Chad D, Houdek Matthew T, Wagner Eric R, Sculco Peter K, Chalmers Brian P, Taunton Michael J
机构信息
The Department of Orthopedic Surgery, Mayo Clinic, Rochester Minnesota.
出版信息
J Arthroplasty. 2015 Dec;30(12):2296-8. doi: 10.1016/j.arth.2015.06.016. Epub 2015 Jun 12.
We sought to identify patient and surgical risk factors for wound complication following direct anterior total hip arthroplasty (THA) and to compare these findings with a group of posterior approach patients. We retrospectively reviewed 716 direct anterior THAs performed by a single surgeon and 3040 posterior THAs from our institution performed from 2010 to 2014. Wound complications were noted in 1.7% of DA cases and 1.9% of posterior cases (P=0.76). Obesity was a stronger risk factor for wound complication in DA patients (HR 4.3, P=0.018) than in posterior approach patients (HR 1.4, P=0.22). The increased risk of wound complication should be taken into consideration prior to direct anterior THA in obese patients.
我们试图确定直接前路全髋关节置换术（THA）后伤口并发症的患者和手术风险因素，并将这些结果与一组后路手术患者进行比较。我们回顾性分析了由一名外科医生实施的716例直接前路THA以及2010年至2014年在我们机构进行的3040例后路THA。直接前路手术（DA）病例中有1.7%出现伤口并发症，后路手术病例中有1.9%出现伤口并发症（P = 0.76）。肥胖对直接前路手术患者伤口并发症的风险因素影响（HR 4.3，P = 0.018）比对后路手术患者的影响（HR 1.4，P = 0.22）更强。在肥胖患者进行直接前路THA之前，应考虑伤口并发症风险增加的情况。
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