无家可归退伍军人的关节置换手术。
Joint replacement surgery in homeless veterans.
作者信息
Bennett Chase G, Lu Laura Y, Thomas Kathleen A, Giori Nicholas J
机构信息
VA Palo Alto Health Care System, Palo Alto, CA, USA.
Department of Orthopedic Surgery, Stanford University, Redwood City, CA, USA.
出版信息
Arthroplast Today. 2017 May 6;3(4):253-256. doi: 10.1016/j.artd.2017.04.001. eCollection 2017 Dec.
Abstract
Total joint arthroplasty (TJA) in a homeless patient is generally considered contraindicated. Here, we report our known medical and social (housing and employment) results of homeless veterans who had TJA. Thirty-seven TJAs were performed on 33 homeless patients (31 men) at our hospital between November 2000 and March 2014. This was 1.2% of all TJAs. Average age was 54 years. Average hospital stay was 4.1 days. There were no major inpatient complications. Thirty-four cases had at least 1-year follow-up in any clinic within the Veterans Affairs health care system. There were no known surgery-related reoperations or readmissions. At final follow-up, 24 patients had stable housing and 9 were employed. The extensive and coordinated medical and social services that were provided to veterans from the Department of Veterans Affairs contributed to our positive results.
摘要
在无家可归的患者中进行全关节置换术（TJA）通常被认为是禁忌的。在此，我们报告我们已知的接受TJA的无家可归退伍军人的医疗和社会（住房和就业）结果。2000年11月至2014年3月期间，我们医院对33名无家可归患者（31名男性）进行了37例TJA手术。这占所有TJA手术的1.2%。平均年龄为54岁。平均住院时间为4.1天。没有重大的住院并发症。34例患者在退伍军人事务医疗保健系统内的任何诊所进行了至少1年的随访。没有已知的与手术相关的再次手术或再次入院情况。在最后随访时，24名患者有稳定的住房，9名患者有工作。退伍军人事务部为退伍军人提供的广泛且协调的医疗和社会服务促成了我们的积极结果。
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