Risk Versus Reward: Total Joint Arthroplasty Outcomes After Various Solid Organ Transplantations
Risk Versus Reward: Total Joint Arthroplasty Outcomes After Various Solid Organ Transplantations
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DOI：
10.1016/j.arth.2014.03.027
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发表时间：
2014-08-01
影响因子：
3.5
通讯作者：
Bolognesi, Michael P.
中科院分区：
文献类型：
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作者：
Ledford, Cameron K.;Watters, Tyler Steven;Bolognesi, Michael P.
回顾性分析了76例在肾、肝、心脏和肺移植后进行的初次全髋关节（THA）和全膝关节置换术（TKA）的临床结局，随访时间分别为30.2和41.2个月。对于THA和TKA队列，医疗并发症发生率较高（29%和33%），住院时间延长（4.2和3.7天），再次手术较多（7.2%和9.1%）。THA仅记录了1例（1.8%）假体周围感染，但3例（14.2%）TKA因感染需要二期翻修。所有移植队列均显示HHS和KSS评分显著增加（P < 0.05），大多数患者报告总体良好或极佳结局（82%-100%）。这些结果表明，各种器官移植患者可能会接受更高的手术风险，以获得有益的结果。(C)2014爱思唯尔公司All rights reserved.
Clinical outcomes were retrospectively reviewed for 76 primary total hip (THA) and total knee arthroplasties (TKA) performed after kidney, liver, cardiac, and lung transplantation with follow-up of 30.2 and 41.2 months, respectively. For the THA and TKA cohorts, there were a high rate of medical complications (29% and 33%), increased hospital length of stay (4.2 and 3.7 days), and more reoperations (7.2% and 9.1%). Only 1 (1.8%) periprosthetic infection was documented for THAs but 3 (14.2%) TKAs required two-stage revisions for infection. All transplant cohorts demonstrated significant increases (P < 0.05) in HHS and KSS scores with majority of patients reporting overall good or excellent outcomes (82%-100%). These results suggest that various organ transplant patients may accept higher surgical risks for rewarding outcomes. (C) 2014 Elsevier Inc. All rights reserved.