Macken Arno A, Prkić Ante, Vermeulen Niels, van Oost Iris, Koenraadt Koen L M, The Bertram, Eygendaal Denise
Department of Orthopedic Surgery, Amphia Hospital, RK Breda, The Netherlands.
Foundation for Orthopedic Research, Care & Education, Amphia Hospital, RK Breda, The Netherlands.
JSES Int. 2021 Apr 16;5(4):804-808. doi: 10.1016/j.jseint.2021.02.015. eCollection 2021 Jul.
The reported complication rate after total elbow arthroplasty is high, and objective outcomes are not always predictive of satisfaction. This study aims to investigate the effect of a short-term complication on patient satisfaction and patient-reported outcome measures.
We retrospectively included 126 patients who received a primary total elbow arthroplasty at our hospital between 2008 and 2018 and compared outcomes between patients with a complication and patients without complications occurring within 1 year using t-tests or Mann-Whitney U tests. -values were corrected using the Benjamini-Hochberg procedure.
In total, 26 patients developed a complication (21%). At the 1-year follow-up, there were no significant differences between the groups. At the 3-year follow-up, patients with a complication had a lower median satisfaction score (8 vs. 10; = .0288) and Oxford Elbow Score (27 vs. 43; = .0048). At the 5-year follow-up, there were no differences between the groups. However, the number of patients who completed the 5-year follow-up is low (42 patients).
Complications occurred in 21% of patients undergoing total elbow arthroplasty and lead to a decrease in satisfaction and Oxford Elbow Score after 3 years.
全肘关节置换术后报道的并发症发生率较高，客观结果并不总是能预测患者满意度。本研究旨在调查短期并发症对患者满意度和患者报告结局指标的影响。
我们回顾性纳入了2008年至2018年间在我院接受初次全肘关节置换术的126例患者，并使用t检验或曼-惠特尼U检验比较了1年内发生并发症的患者和未发生并发症的患者之间的结局。P值使用Benjamini-Hochberg程序进行校正。
共有26例患者出现并发症（21%）。在1年随访时，两组之间无显著差异。在3年随访时，出现并发症的患者中位满意度评分较低（8分对10分；P = 0.0288），牛津肘关节评分也较低（27分对43分；P = 0.0048）。在5年随访时，两组之间无差异。然而，完成5年随访的患者数量较少（42例患者）。
21%接受全肘关节置换术的患者发生了并发症，并导致3年后满意度和牛津肘关节评分下降。
