影响全关节置换术后结果的因素：近期文献综述
Factors That Affect Outcome Following Total Joint Arthroplasty: a Review of the Recent Literature.
作者信息
Schwartz Forrest H, Lange Jeffrey
机构信息
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
出版信息
Curr Rev Musculoskelet Med. 2017 Sep;10(3):346-355. doi: 10.1007/s12178-017-9421-8.
Abstract
PURPOSE OF REVIEW
It is well established that certain patient-specific risk factors affect outcomes following total joint arthroplasty. The goal of this paper is to summarize the latest data on several variables that have been investigated in the last 3 years and to characterize the effects these factors have on the success of hip and knee replacement.
RECENT FINDINGS
Preoperative diagnoses of depression and anxiety, liver disease, hypoalbuminemia, vitamin D deficiency, and diabetes mellitus are associated with increased risk of postoperative complications and can lead to worse outcomes after joint replacement surgery. Recent investigations have clearly established a link between these patient-specific factors and poor outcomes after hip and knee arthroplasty, but future research is needed to determine best practices for stratifying and mitigating these risks for patients.
摘要
综述目的
众所周知，某些患者特定的风险因素会影响全关节置换术后的结果。本文的目的是总结过去3年中对几个变量的最新研究数据，并描述这些因素对髋关节和膝关节置换成功的影响。
最新发现
术前诊断为抑郁、焦虑、肝病、低白蛋白血症、维生素D缺乏和糖尿病与术后并发症风险增加相关，并且会导致关节置换手术后出现更差的结果。最近的研究已明确证实这些患者特定因素与髋膝关节置换术后不良结果之间存在关联，但仍需要进一步研究以确定对患者进行风险分层和降低这些风险的最佳方法。
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