透析患者的全膝关节置换术：安全吗？一项文献系统综述。
Total knee arthroplasty in dialysis patients: Is it safe? A systematic review of the literature.
作者信息
Gkiatas Ioannis, Xiang William, Karasavvidis Theofilos, Windsor Eric N, Sharma Abhinav K, Sculco Peter K
机构信息
Stavros Niarchos Foundation Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY, 10022, USA.
School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
出版信息
J Orthop. 2021 May 14;25:199-206. doi: 10.1016/j.jor.2021.05.025. eCollection 2021 May-Jun.
Abstract
PURPOSE
This systematic review characterizes the safety and efficacy of total knee arthroplasty (TKA) in end stage renal disease (ESRD) patients due to the unique challenges they face.
RESULTS
The cumulative complication rate for 3684 patients on dialysis for ESRD after primary TKA was 25%(N = 925/3702), with incidence rates of 2.5%(N = 92/3702) for periprosthetic joint infection, 3.7%(N = 71/1895) for reoperations, and 2.5%(N = 90/3578) for mortality.
CONCLUSION
Patients on dialysis for ESRD face significant mortality rates after primary TKA, in addition to other major complications. Careful counseling regarding risks and benefits should be provided prior to TKA in this population.
摘要
目的
本系统评价旨在描述终末期肾病（ESRD）患者行全膝关节置换术（TKA）的安全性和有效性，因为他们面临着独特的挑战。
结果
3684例因ESRD接受透析的患者在初次TKA后的累积并发症发生率为25%（N = 925/3702），其中假体周围关节感染发生率为2.5%（N = 92/3702），再次手术发生率为3.7%（N = 71/1895），死亡率为2.5%（N = 90/3578）。
结论
因ESRD接受透析的患者在初次TKA后除面临其他主要并发症外，还面临着显著的死亡率。对于该人群，在TKA术前应仔细提供有关风险和益处的咨询。
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