伴有腘动脉损伤的膝关节脱位：2005年至2013年的全国性分析
Knee dislocation with popliteal artery disruption: A nationwide analysis from 2005 to 2013.
作者信息
Naziri Qais, Beyer George A, Shah Neil V, Solow Maximillian, Hayden Andrew J, Nadarajah Vidushan, Ho Derek, Newman Jared M, Boylan Matthew R, Basu Niladri N, Zikria Bashir A, Urban William P
机构信息
Department of Orthopaedic Surgery and Rehabilitation Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA.
School of Medicine, St. George's University, West Indies, Grenada.
出版信息
J Orthop. 2018 Aug 16;15(3):837-841. doi: 10.1016/j.jor.2018.08.006. eCollection 2018 Sep.
OBJECTIVE
Few have compared short-term outcomes following knee dislocations with or without concomitant popliteal artery disruption (PAD).
METHODS
The Nationwide Inpatient Sample was used to identify 2175 patients admitted for knee dislocation from 2005 to 2013 (concomitant PAD: n = 210/9.7%; without: n = 1965/90.3%).
RESULTS
Patients with PAD were younger, more often male, Black and Hispanic, and with Medicaid (all p ≤ 0.013). PADs were associated with 11.0-times higher odds of increased LOS (95%CI, 6.6-18.4) and 2.8-times higher odds of experiencing any complication (95%CI, 2.03-3.92). Female sex was a protective factor against increased LOS, (OR = 0.65; 95%CI, 0.48-0.88).
CONCLUSION
High suspicion index should be maintained for concomitant vascular injuries following knee dislocations.
目的
很少有人比较过伴有或不伴有腘动脉损伤（PAD）的膝关节脱位后的短期预后。
方法
利用全国住院患者样本，确定了2005年至2013年因膝关节脱位入院的2175例患者（伴有PAD：n = 210/9.7%；不伴有：n = 1965/90.3%）。
结果
伴有PAD的患者更年轻，男性、黑人和西班牙裔比例更高，且参加医疗补助计划（所有p≤0.013）。PAD与住院时间延长几率高11.0倍（95%CI，6.6 - 18.4）以及发生任何并发症几率高2.8倍（95%CI，2.03 - 3.92）相关。女性是住院时间延长的保护因素（OR = 0.65；95%CI，0.48 - 0.88）。
结论
对于膝关节脱位后伴发的血管损伤应保持高度怀疑指数。
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