From the Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO.
J Am Acad Orthop Surg. 2024 Jan 15;32(2):51-58. doi: 10.5435/JAAOS-D-22-01112. Epub 2023 Sep 26.
Diabetes mellitus has been shown to affect the outcomes of various orthopaedic procedures. Although orthopaedic sports medicine procedures tend to be less invasive and are often performed on younger and healthier patients, diabetes is associated with an increased risk of postoperative infection, readmission, and lower functional outcome scores. However, this risk may be moderated by the glycemic control of the individual patient, and patients with a low perioperative hemoglobin A1c may not confer additional risk. Further research is needed to evaluate the impact of diabetes on surgical outcomes in sports orthopaedics is needed, with the goal of evaluating mediating factors such as glycemic control in mind.
糖尿病已被证明会影响各种骨科手术的结果。尽管矫形运动医学手术往往创伤较小，且通常在年轻和健康的患者中进行，但糖尿病与术后感染、再入院和较低的功能结局评分风险增加有关。然而，这种风险可能会因个体患者的血糖控制情况而有所缓和，而围手术期糖化血红蛋白水平较低的患者可能不会增加额外的风险。需要进一步的研究来评估糖尿病对运动矫形外科手术结果的影响，目的是评估血糖控制等中介因素。
