Patetta Michael J, DesLaurier Justin T, Volchenko Elan, Hossa Jessica A, Siegel Matthew A, Deshpande Abhishek, Paladino Lucas, Lichtig Asher E, Orland Mark D, Piponov Hristo I, Gonzalez Mark H
Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, Illinois.
J Surg Orthop Adv. 2024 Winter;33(4):240-243.
There is conflicting literature regarding the effect of surgical start time for total hip arthroplasty (THA) on morbidity. This study examined outcomes between start time groups in elective THA. A retrospective review identified patients undergoing elective cementless primary THA between 2009 and 2019. Patients were divided into morning or evening start time groups. Chi-squared analysis and independent sample t-tests were run to detect differences between groups in matched and unmatched analysis. Five hundred fifteen patients were identified based on selection criteria. Chi-squared analysis and independent sample t-tests identified no significant differences in duration of surgery, estimated blood loss, length of stay, or other complications between start time groups. This study provided clinical data over a 10-year period supporting that surgical start time in elective THA does not have a significant impact on outcomes. (Journal of Surgical Orthopaedic Advances 33(4):240-243, 2024).
关于全髋关节置换术（THA）的手术开始时间对发病率的影响，文献中存在相互矛盾的观点。本研究调查了择期THA中不同开始时间组的结果。一项回顾性研究确定了2009年至2019年间接受择期非骨水泥初次THA的患者。患者被分为上午或晚上开始时间组。进行卡方分析和独立样本t检验，以检测匹配和非匹配分析中各组之间的差异。根据选择标准确定了515名患者。卡方分析和独立样本t检验表明，开始时间组之间在手术时长、估计失血量、住院时间或其他并发症方面没有显著差异。本研究提供了长达10年的临床数据，支持择期THA的手术开始时间对结果没有显著影响。（《外科骨科进展杂志》33(4):240 - 243, 2024）
