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双边全膝关节整形手术的同时 vs 分阶段手术:与同时手术相关的感染,成本和再入院率降低

Aaron Singh¹, Travis M Kotzur¹, Kathleen Lundquist¹

¹Department of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.

Arthroplasty today

|January 28, 2025

概括

比较同时与分阶段双边膝关节整形术 (TKA),分阶段手术的手术并发症较少,但有更多的医疗并发症,再入院和更高的成本. 患者因素是TKA决策的关键.

科学领域:

整形外科手术整形外科手术
医疗保健服务研究医疗服务研究

背景情况:

双边全膝关节整形术 (TKA) 是常见的,但比较同时和分阶段方法的数据是有限的.
了解并发症和结果对于患者管理至关重要.

研究的目的:

为了比较同步和分阶段双边TKA之间的医疗和外科并发症和医院相关结果.
为了评估再入院率,再手术率和两种手术方法的总费用.

主要方法:

使用国家再接收数据库 (2016-2020) 进行回顾性队列研究.
对210,682名接受双边TKA的患者的分析,比较同时和分阶段的程序.
多变量和回归分析对人口统计和并发性疾病进行了控制.

主要成果:

阶段性TKA与手术并发症减少,但医疗并发症增加有关.
分阶段的程序显示,再接收,重新操作的可能性更高,总费用更高.
同时的双边TKA表明,常规排放的几率增加.

结论:

同时双边TKA可能是选择患者的可行选择.
阶段性TKA提供了诸如减少手术并发症等好处,但却导致更高的医疗费用和再接收风险.
外科医生应根据患者的风险概况和偏好来个性化双边TKA规划.

关键词:

关节质整术是指关节质整术.双边膝关节置换双边膝关节置换复杂性复杂性复杂性费用费用费用费用费用费用费用这是膝盖手术.整体膝关节关节整形手术

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