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直接前路初次全髋关节置换术后的围手术期并发症及30天和90天再入院原因

Perioperative complications and causes of 30- and 90-day readmission after direct anterior approach primary total hip arthroplasty.

作者信息

Sali Eric, Marmorat Jean-Luc, Gaudot Fabrice, Nich Christophe

机构信息

Department of Traumatology and Orthopaedic Surgery, Raymond Poincare Hospital, Versailles Saint Quentin en Yvelines University, Assistance Publique - Hôpitaux de Paris 104, Boulevard Raymond Poincare, 92380, Garches, France.

出版信息

J Orthop. 2019 Aug 10;17:69-72. doi: 10.1016/j.jor.2019.08.006. eCollection 2020 Jan-Feb.

Abstract

UNLABELLED

We aimed to report causes of readmission 30 and 90 days following a total hip arthroplasty (THA) using the direct anterior approach (DAA).

METHODS

Three hundred and two patients (335 hips) underwent a DAA-THA for primary osteoarthritis.

RESULTS

The main reasons for 30 and 90-day readmission were wound related problems, dislocation (rate: 0.9%) and deep infection. The readmission rates at 30 and 90 days were 1.8% and 2.7%, respectively. Age over 60 years and morbidly obese patients were at risk for complications.

CONCLUSION

The DAA-THA was associated with low readmission rates. Obesity should be adressed preoperatively.

摘要

未标注

我们旨在报告采用直接前路入路(DAA)进行全髋关节置换术(THA)后30天和90天再入院的原因。

方法

302例患者(335髋)因原发性骨关节炎接受了DAA-THA手术。

结果

30天和90天再入院的主要原因是伤口相关问题、脱位(发生率:0.9%)和深部感染。30天和90天的再入院率分别为1.8%和2.7%。60岁以上患者和病态肥胖患者有并发症风险。

结论

DAA-THA的再入院率较低。术前应处理肥胖问题。

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