全踝关节置换术后的系统性医学并发症：证据回顾。
Systemic medical complications following total ankle arthroplasty: A review of the evidence.
机构信息
Foundation Doctor, Royal Free London NHS Foundation Trust, London, United Kingdom,.
Foundation Doctor, Barts Heath NHS Trust, London, United Kingdom,.
出版信息
Foot Ankle Surg. 2022 Oct;28(7):804-808. doi: 10.1016/j.fas.2021.10.012. Epub 2021 Oct 27.
BACKGROUND
Total Ankle Arthroplasty (TAA) is increasingly undertaken for the treatment of end-stage ankle arthritis. For each TAA procedure informed consent is required. The consent process should include discussion of the relevant complications, both systemic and regional. There is a lack of data regarding the systemic complications of TAA. This might cause problems in obtaining valid informed consent.
METHODS
We reviewed and summarised the literature regarding the systemic complications and mortality rate of TAA.
RESULTS
The average rate of systemic medical complications after TAA was 3% (range: 0-7%). The average mortality rate following TAA was 0.3% (range: 0-0.72%). The following were risk factors for systemic medical complications: obesity, diabetes, systemic co-morbidities, preoperative blood transfusion, revision procedures, and long anaesthetic duration.
CONCLUSIONS
When obtaining informed consent for TAA a systemic complication rate of 3% and a mortality rate of 0.3% ought to be included and documented.
背景
全踝关节置换术（TAA）越来越多地用于治疗晚期踝关节关节炎。每个 TAA 手术都需要获得知情同意。同意过程应包括讨论相关的系统和局部并发症。关于 TAA 的系统并发症的数据不足，这可能导致获得有效知情同意的问题。
方法
我们回顾并总结了关于 TAA 系统并发症和死亡率的文献。
结果
TAA 后全身医疗并发症的平均发生率为 3%（范围：0-7%）。TAA 后平均死亡率为 0.3%（范围：0-0.72%）。以下是全身医疗并发症的危险因素：肥胖、糖尿病、全身合并症、术前输血、翻修手术和较长的麻醉持续时间。
结论
在获得 TAA 的知情同意时，应当包括并记录 3%的全身并发症发生率和 0.3%的死亡率。
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