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Knee and hip arthroplasty joint surgical site wound infection in end-stage renal disease subjects who underwent dialysis or a kidney transplant: A meta-analysis.终末期肾病行透析或肾移植患者膝关节和髋关节置换关节手术部位感染的 Meta 分析。
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1
Outcomes of total hip arthroplasty in haemodialysis and renal transplant patients: systematic review.血液透析和肾移植患者全髋关节置换术的结果:系统评价。
Hip Int. 2021 Mar;31(2):207-214. doi: 10.1177/1120700019877835. Epub 2019 Sep 30.
2
Peritoneal Dialysis Does Not Carry the Same Risk as Hemodialysis in Patients Undergoing Hip or Knee Arthroplasty.腹膜透析在髋关节或膝关节置换术患者中与血液透析的风险相同。
J Bone Joint Surg Am. 2019 Jul 17;101(14):1271-1277. doi: 10.2106/JBJS.18.00936.
3
Is dialysis vintage a perioperative risk for end-stage renal disease patients receiving total knee and hip arthroplasty.透析时间对于接受全膝关节和髋关节置换术的终末期肾病患者来说是否是围手术期风险因素?
J Orthop Surg (Hong Kong). 2019 May-Aug;27(2):2309499019853887. doi: 10.1177/2309499019853887.
4
The mid-term outcome of dialysis-dependent patients undergoing primary total knee arthroplasty and total hip arthroplasty: A retrospective study.透析依赖患者行初次全膝关节置换术和全髋关节置换术的中期疗效:一项回顾性研究。
J Chin Med Assoc. 2019 Feb;82(2):143-147. doi: 10.1097/JCMA.0000000000000017.
5
Failure After 2-Stage Exchange Arthroplasty for Treatment of Periprosthetic Joint Infection: The Role of Antibiotics in the Cement Spacer.两阶段关节翻修术治疗人工关节周围感染失败:水泥间隔物中抗生素的作用。
Clin Infect Dis. 2019 May 30;68(12):2087-2093. doi: 10.1093/cid/ciy851.
6
Acute Renal Failure due to a Tobramycin and Vancomycin Spacer in Revision Two-Staged Knee Arthroplasty.二期翻修全膝关节置换术中妥布霉素和万古霉素间隔物导致的急性肾衰竭
Case Rep Nephrol. 2018 Jul 2;2018:6579894. doi: 10.1155/2018/6579894. eCollection 2018.
7
Mortality After Total Knee Arthroplasty: A Systematic Review of Incidence, Temporal Trends, and Risk Factors.全膝关节置换术后的死亡率:发生率、时间趋势和危险因素的系统评价。
J Bone Joint Surg Am. 2018 Jun 20;100(12):1064-1070. doi: 10.2106/JBJS.17.00249.
8
Dialysis Patients Undergoing Total Knee Arthroplasty Have Significantly Increased Odds of Perioperative Adverse Events Independent of Demographic and Comorbidity Factors.接受全膝关节置换术的透析患者,无论在人口统计学因素和合并症因素方面,其围手术期不良事件的发生几率都显著增加。
J Arthroplasty. 2018 Sep;33(9):2827-2834. doi: 10.1016/j.arth.2018.04.012. Epub 2018 Apr 19.
9
Dialysis Dependence Predicts Complications, Intensive Care Unit Care, Length of Stay, and Skilled Nursing Needs in Elective Primary Total Knee and Hip Arthroplasty.透析依赖预测择期初次全膝关节和全髋关节置换术后的并发症、重症监护病房护理、住院时间和熟练护理需求。
J Arthroplasty. 2018 Jul;33(7):2263-2267. doi: 10.1016/j.arth.2018.02.035. Epub 2018 Feb 17.
10
Analysis of Total Knee Arthroplasty revision causes.全膝关节置换翻修原因分析
BMC Musculoskelet Disord. 2018 Feb 14;19(1):55. doi: 10.1186/s12891-018-1977-y.

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.

DOI:10.1016/j.jor.2021.05.025
PMID:34045823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8144102/
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。