Postoperative Impact of Diabetes, Chronic Kidney Disease, Hemodialysis, and Renal Transplant After Total Hip Arthroplasty

Autor: Brian F. Moore, Thorsten M. Seyler, Michael P. Bolognesi, Rhett K. Hallows, Perez Agaba, Beau J. Kildow
Rok vydání: 2016
Předmět:
musculoskeletal diseases
Male
medicine.medical_specialty
medicine.medical_treatment
Arthroplasty
Replacement
Hip
Periprosthetic
Renal function
Diabetes Complications
03 medical and health sciences
0302 clinical medicine
Postoperative Complications
Renal Dialysis
health services administration
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Orthopedics and Sports Medicine
030212 general & internal medicine
Postoperative Period
Renal Insufficiency
Chronic
Aged
Retrospective Studies
Aged
80 and over
030222 orthopedics
Kidney
Arthritis
Infectious
business.industry
equipment and supplies
musculoskeletal system
medicine.disease
Kidney Transplantation
Surgery
Transplantation
surgical procedures
operative
medicine.anatomical_structure
Cohort
Female
Hemodialysis
Periprosthetic Fractures
business
Kidney disease
Zdroj: The Journal of arthroplasty. 32(9S)
ISSN: 1532-8406
Popis: Background The prevalence of diabetes mellitus (DM), chronic kidney disease (CKD), hemodialysis (HD), and renal transplantation (RT) is increasing. This study assessed postoperative complications among diabetic patients with CKD, HD, or post-RT after total hip arthroplasty (THA). Methods Four cohorts were created using a nationwide database: DM&THA, DM&CKD&THA, DM&HD&THA, and DM&RT&THA. Cohorts were matched to a control group by age and gender. Thirty-day medical complications and 90-day and 2-year surgical complications were evaluated. Results All 30-day complications were higher in each cohort. Ninety-day and 2-year surgical complications in the DM&HD&THA cohort were increased compared to the DM&RT&THA cohort. Remarkably, no increased risk of periprosthetic joint infection, periprosthetic fracture, or revision was noted post-THA in the DM&RT&THA cohort. Conclusion Diabetic patients with worsening kidney function are associated with increased post-THA complications. Postsurgical risks decline following RT. Diabetic patients with kidney failure may want to undergo RT prior to THA to optimize surgical outcomes.
Databáze: OpenAIRE
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