慢性周围假肢关节感染的连续和未经选择的单阶段修订中的90天术后死亡率和并发症
Chenchen Yang1, Baochao Ji1, Guoqing Li1
1Department of Orthopaedics, First Affiliated Hospital of Xinjiang Medical University, 137 South LiYuShan Road, Urumqi, 830054, Xinjiang, China.
International orthopaedics
|March 25, 2024
概括
周围假肢关节感染 (PJI) 的单阶段复查显示,90天死亡率低. 然而,并发症率仍然很高,特别是在膝盖修复中,突出了改善患者管理和手术策略的领域.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
- 生物材料科学 生物材料科学
背景情况:
- 单阶段修复是围围假肢关节感染 (PJI) 的关键手术方法.
- 单阶段修订的90天死亡率和并发症概况需要进一步描述.
研究的目的:
- 确定90天术后死亡率和慢性PJI单阶段修订后并发症的发病率.
- 确定与90天死亡率和并发症相关的风险因素,用于慢性PJI的单阶段修订.
主要方法:
- 对348名患者 (2000-2022) 的回顾性审查,这些患者正在接受PJI的单阶段修订.
- 收集的数据包括人口统计,90天死亡率和系统/局部并发症.
- 单变量和多变量逻辑回归确定了结果的预测因素.
主要成果:
- 90天死亡率为0.9%.
- 手术后并发症的发生率为31.3% (膝盖) 和19.6% (部),其中深静脉血栓塞 (DVT) 是最常见的.
- 类风湿性关节炎 (RA) 预测死亡率;真菌感染预测膝盖的复发性PJI;80岁以上预测部的DVT.
结论:
- 单阶段修订为慢性PJI提供了令人满意的90天死亡率.
- 然而,90天的术后并发症率对于膝盖和部修改都相对较高.
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