维生素D水平正常的患者进行髋关节和膝关节翻修置换术后并发症较少。
Fewer Complications Following Revision Hip and Knee Arthroplasty in Patients With Normal Vitamin D Levels.
作者信息
Traven Sophia A, Chiaramonti Alexander M, Barfield William R, Kirkland Patricia A, Demos Harry A, Schutte Harold D, Drew Jacob M
机构信息
Department of Orthopaedics, Medical University of South Carolina, Charleston, South Carolina.
Comprehensive Joint Program, Charleston Institute for Orthopaedics, Mt Pleasant, South Carolina.
出版信息
J Arthroplasty. 2017 Sep;32(9S):S193-S196. doi: 10.1016/j.arth.2017.02.038. Epub 2017 Mar 8.
BACKGROUND
Surgeons and hospitals increasingly face penalty for complications and readmission following total joint arthroplasty; therefore, optimization of modifiable risk factors is paramount. Literature associates low vitamin D with risk of periprosthetic joint infection, and we hypothesized low vitamin D to be predictive of increased rate of complications and readmissions.
METHODS
A retrospective review of 126 revision total joint arthroplasty patients between 2010 and 2014 was performed.
RESULTS
Low vitamin D was not associated with risk of 30-day readmission but was found to be associated with an increased risk of 90-day complications as well as periprosthetic joint infection as the reason for revision surgery.
CONCLUSION
Preoperative vitamin D level should be considered a modifiable risk factor for complications following revision arthroplasty.
背景
外科医生和医院在全关节置换术后因并发症和再入院面临的处罚日益增加；因此，优化可改变的风险因素至关重要。文献表明维生素D水平低与假体周围关节感染风险相关，我们推测低维生素D可预测并发症和再入院率增加。
方法
对2010年至2014年间126例翻修全关节置换术患者进行回顾性研究。
结果
低维生素D与30天再入院风险无关，但与90天并发症风险增加以及作为翻修手术原因的假体周围关节感染有关。
结论
术前维生素D水平应被视为翻修关节置换术后并发症的一个可改变风险因素。
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