哪些重要的危险因素会使全踝关节置换术后（TAA）的患者易感染？
What Are the Important Risk Factors That Predispose a Patient to Infection After Total Ankle Arthroplasty (TAA)?
机构信息
1 Gustave Dron Hospital Tourcoing France, Lille, France.
2 Department of Orthopaedics, University of Miami/Miller School of Medicine, Miami, FL, USA.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):2S-3S. doi: 10.1177/1071100719857081.
RECOMMENDATION
There is evidence indicating that the following risk factors may predispose a patient to an infection after a total ankle arthroplasty (TAA): inflammatory arthritis, prior ankle surgery, body mass index (BMI) <19, and peripheral vascular disease. Meanwhile, there is conflicting evidence (which may be due to patient selection bias) indicating that the following risk factors may predispose a patient to infection after a TAA: obesity (BMI >30), tobacco use, diabetes, duration of surgery, age <65 years, hypothyroidism, low preoperative American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, and chronic lung disease.
LEVEL OF EVIDENCE
Limited.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
建议
有证据表明，以下风险因素可能使患者在接受全踝关节置换术后容易发生感染：炎症性关节炎、既往踝关节手术、体重指数（BMI）<19 和外周血管疾病。同时，有相互矛盾的证据（可能由于患者选择偏倚）表明，以下风险因素可能使患者在接受全踝关节置换术后容易发生感染：肥胖（BMI>30）、吸烟、糖尿病、手术时间、年龄<65 岁、甲状腺功能减退、术前美国矫形足踝协会（AOFAS）后足评分低和慢性肺部疾病。
证据等级
有限。
代表投票
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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