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Prospective study on the incidence of complications in knee arthroplasty UCAL-Spanish Association

机译:膝关节置换术并发症发生率的前瞻性研究UCAL-西班牙语协会

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Objectives: The aim of our study was to determine the morbidity and mortality at 3 and 6 months after surgery of patients undergoing total knee arthroplasty at the Unidad de Cirugía del Aparato Locomotor (UCAL) of the Asociación Espa?ola de Socorros Mutuos (a medical institution). Methods: In a prospective single cohortstudy, all patients undergoing primary totalkneearthroplastyatUCALinthe periodbetween Mayand December2011were included, totalizing 140 arthroplasties .A 4 of them failed to complete follow them, so that the results of 136 primary knee arthroplasties using different functional scores were evaluated, findings, comorbidities and complications encounteredwere described. Results: The mortality at follow-upinthe populationwas 0%. Seven patients (5,14%) had complications, including 2patients (1.47%) who had a deep infection. The rateof readmissionandreoperationof our populationwas 4,4% (6 patients). Patients which had no previous comorbidities were a 16,9% The most frequent comorbidity was hypertension present in 65,4% of our patients. All patients with complications had at least 3 comorbidities. Most patients improved their functional dependence by 3% improved their quality of life by 80%, and above all reduced their symptoms especially pain by 66%. Conclusion: All patients with complications had 3 or more comorbidities. In the study population 32% of patients with 3 or more comorbidities suffered any complications. There were no complications in the group of patients with less than 3 comorbidities regardless of age this being statistically significant. We conclude that having 3 or more comorbidities increased the risk of complications this being statistically significant.
机译:目的:我们的研究目的是确定在AsociaciónEspa?ola de Socorros Mutuos(医疗)的Unidad deCirugíadel Aparato运动(UCAL)进行全膝关节置换术的患者手术后3个月和6个月的发病率和死亡率。机构)。方法:在一项前瞻性单队列研究中,纳入了所有在5月至2011年12月期间在UCAL接受原发性对讲置换术的患者,共进行了140例关节置换术,其中4例未能完成随访,因此对136例使用不同功能评分的原发性膝关节置换术的结果进行了评估,发现,描述了合并症和遇到的并发症。结果:该人群的随访死亡率为0%。 7例(5,14%)患有并发症,其中2例(1.47%)患有深部感染。我们人群的再入院率和再手术率为4%(6例患者)。以前没有合并症的患者为16.9%。最常见的合并症是我们的患者中有65.4%的高血压。所有并发症患者至少有3种合并症。大多数患者的功能依赖性提高了3%,生活质量提高了80%,最重要的是减轻了症状,特别是疼痛减轻了66%。结论:所有合并症患者均合并有3个或更多合并症。在研究人群中,患有3种或更多合并症的患者中有32%患有任何并发​​症。合并症少于3例的患者年龄组中均无并发症,这在统计学上具有统计学意义。我们得出的结论是,合并症3种或3种以上会增加发生并发症的风险,这在统计学上具有重要意义。

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