Department of General Orthopaedics, Auguste-Viktoria-Clinic Bad Oeynhausen, University Hospital of Ruhr-University-Bochum, Am Kokturkanal, Bad Oeynhausen, 32545, Germany.
Department of Orthopaedics and Trauma Surgery, University Clinic Aachen, RWTH Aachen University Clinic, 52064, Aachen, Germany.
BMC Musculoskelet Disord. 2023 Aug 16;24(1):653. doi: 10.1186/s12891-023-06788-x.
Total hip (THA) and knee arthroplasty (TKA) are surgical interventions for patients with primary and posttraumatic osteoarthritis. The present clinical investigation compared gender differences in THA and TKA.
Data from 419 patients following primary THA and TKA were collected. The occurrence of systemic and surgery-related complications, the units of blood transfused, and the change in Hb were investigated. Hb was collected preoperatively and at 1, 2, 4 and 7 days postoperatively. Statistical analysis was performed using the software IBM SPSS 28.
There was no significant difference in surgery-related and general complications in men between THA and TKA. A significant difference between THA and TKA in systemic complications in women was observed. No significant difference between THA and TKA in related to surgery-related complications was evidenced. In men, no difference in Hb progression was observed. In women, a significant Hb drop was evidenced (p = 0.03). The rate of blood transfusion units in women was significantly greater in TKA than in THA (p = 0.001). No statistically significant difference was observed in men in the rate of transfusion between THA and TKA.
Perioperative care should be organized differently for women and men. Furthermore, a differentiation between the procedures for each sex could prevent the occurrence of perioperative complicated courses.
全髋关节置换术（THA）和全膝关节置换术（TKA）是治疗原发性和创伤后骨关节炎患者的手术干预措施。本临床研究比较了 THA 和 TKA 中性别差异。
收集了 419 例初次 THA 和 TKA 患者的数据。调查了全身和手术相关并发症的发生、输血量和 Hb 的变化。Hb 在术前和术后第 1、2、4 和 7 天采集。使用 IBM SPSS 28 软件进行统计分析。
男性 THA 和 TKA 之间在手术相关和一般并发症方面无显著差异。女性在全身并发症方面观察到 THA 和 TKA 之间存在显著差异。在与手术相关的并发症方面，THA 和 TKA 之间没有证据表明存在差异。男性的 Hb 进展无差异。女性 Hb 显著下降（p=0.03）。女性 TKA 输血单位的比例明显高于 THA（p=0.001）。男性 THA 和 TKA 之间输血率无统计学差异。
应根据女性和男性的不同情况组织围手术期护理。此外，对每一种性别的手术进行区分，可以预防围手术期并发症的发生。
