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首页> 外文期刊>The Journal of arthroplasty >Comparison of Wound Complications and Deep Infections With Direct Anterior and Posterior Approaches in Obese Hip Arthroplasty Patients
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Comparison of Wound Complications and Deep Infections With Direct Anterior and Posterior Approaches in Obese Hip Arthroplasty Patients

机译：肥胖髋关节置换术治疗伤口并发症和深度前后方法的伤口并发症和深途径的比较

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Abstract Background The purpose of this study was to compare the posterior approach (PA) with the direct anterior approach (DAA) among obese and nonobese total hip arthroplasty patients to determine if obese DAA patients have a higher risk of infection or wound complications compared with obese PA patients. Methods We retrospectively evaluated 4651 primary total hip cases performed via anterior approach or PA between 2009 and 2015. Patients were divided into 4 study groups based on approach and body mass index (BMI): (1) DAA 2 , (2) DAA ≥35 kg/m 2 , (3) PA 2 , and (4) PA ≥35 kg/m 2 . Infection rates and wound complications were compared. Results The rate of deep infection in groups 1 and 3 (nonobese anterior vs posterior) was 0.28% and 0.36%, respectively ( P ?= .783); and in groups 2 and 4 (obese anterior vs posterior) was 2.35% and 2.7%, respectively ( P ?= .80). The rate of wound complications between groups 1 and 3 (nonobese) was 1.0% and 0.3%, respectively ( P ?= .005). Between groups 2 and 4 (obese), the rates of complications were 1.7% and 1.4%, respectively ( P ?= 1.0). There was no difference in reoperation rates for wounds between groups 1 and 3 or between groups 2 and 4 ( P ?= .217, P ?= .449). Conclusion In the largest available series, there was no difference in deep infection rates between the 2 approaches. In the subset of obese patients with BMI ≥35 kg/m 2 , there was no increased risk of deep infection or wound complications in DAA patients compared with PA patients. However, anterior hip cases experienced higher rates of superficial wound complications compared with posterior cases across all BMIs.
机译：摘要背景本研究的目的是将肥胖和非同事总髋关节置换术患者的直接前进（DAA）进行比较，以确定肥胖DAA患者是否与肥胖相比具有更高的感染或伤口并发症的风险PA患者。方法方法回顾性评估4651次通过2009和2015之间进行的前方法或PA进行的初级总髋关节病例。患者基于方法和体重指数（BMI）分为4个研究组：（1）DAA 2，（2）DAA≥35 kg / m 2，（3）pa 2，和（4）pa≥35kg / m 2。比较感染率和伤口并发症。结果分别为0.28％和0.36％（P = 0.783）分别为0.28％和0.36％的深度感染速率;在第2组和4组（肥胖前vs后）分别为2.35％和2.7％（P？= .80）。第1组和3组（非同源）之间的伤口并发症分别为1.0％和0.3％（P？= .005）。在第2组和第4组（肥胖）之间，并发症的率分别为1.7％和1.4％（P？= 1.0）。在第1和3组或第2组和第2组和第4组之间的伤口的重新进入速率没有差异（p？= .217，p？= .449）。结论在最大的可用系列中，两种方法之间的深入感染率没有差异。在BMI≥35千克/平方米的肥胖患者的子集中，与PA患者相比，DAA患者的深入感染或伤口并发症的风险增加。然而，与所有BMIS的后壳相比，前髋关节病例具有更高的浅表伤口并发症率。

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