糖尿病与首次全膝关节置换术后关节特异性功能结果的恶化有关
Jack Lovie1, Nicholas D Clement2, Deborah MacDonald2
1Department of Orthopaedics, The Royal Infirmary of Edinburgh, Little France, Edinburgh, EH16 4SA, UK. jel97@btinternet.com.
Archives of orthopaedic and trauma surgery
|January 11, 2025
概括
糖尿病会对全膝关节置换 (TKR) 的结果产生负面影响,降低功能和满意度. 肥胖也独立地影响TKR结果,强调在手术前需要管理这些情况.
科学领域:
- 整形外科手术 整形外科手术
- 代谢疾病 代谢疾病
- 公共卫生 公共卫生
背景情况:
- 糖尿病和肥胖 (称为糖尿病) 对全膝关节置换 (TKR) 结果的综合影响仍然不完全理解.
- 这项研究调查了肥胖,糖尿病和糖尿病对初级TKR后功能结果和并发症率的独立影响.
研究的目的:
- 为了确定糖尿病是否影响初级全膝关节置换后的功能结果.
- 评估糖尿病对初级TKR后并发症率的影响.
- 为了比较肥胖,糖尿病和糖尿病对TKR结果的独立影响.
主要方法:
- 采用了对病例进行控制的研究设计.
- 分析了2577个TKR的数据,比较了患有和没有糖尿病的患者.
- 结果包括牛津膝关节得分 (OKS),EuroQol5维 (Eq. 5D),患者满意度和并发症率在手术前和手术后12个月被评估.
主要成果:
- 糖尿病独立地与较低的手术前OKS和TKR后OKS改善的减少有关.
- 肥胖也独立地与更糟糕的手术前OKS和减少OKS改善相关.
- 糖尿病和肥胖都与较差的手术前Eq.有关. 5D得分,糖尿病患者报告术后满意度下降.
结论:
- 糖尿病独立地与手术前膝关节功能和生活质量恶化有关 (Eq. 5D得分) 在TKR之前.
- 患有糖尿病的患者在TKR后的功能改善较少,并且报告术后满意度较低,部分原因是肥胖.
- 没有发现糖尿病与手术后并发症的增加率独立相关.
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