In hospital complications after total joint arthroplasty

被引:201
作者
Pulido, Luis [1 ]
Parvizi, Javad [1 ]
Macgibeny, Margaret [1 ]
Sharkey, Peter F. [1 ]
Purtill, James J. [1 ]
Rothman, Richard H. [1 ]
Hozack, William J. [1 ]
机构
[1] Thomas Jefferson Univ Hosp, Rothman Inst Orthoped, Philadelphia, PA 19107 USA
关键词
in hospital complications; systemic; local;
D O I
10.1016/j.arth.2008.05.011
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Total joint arthroplasty is a safe and Successful procedure. However, numerous complications may present after elective arthroplasty. This Study prospectively collected data on systemic and local in hospital complications after 15383 joint arthroplasties, which included 8230 total hip arthroplasties and 7153 total knee arthroplasties. in general, the incidence of complications was higher after knee arthroplasty, Simultaneous bilateral Surgery, and revision surgery. There were 22 (0.16%) deaths in this cohort. We identified 486 major systemic complications, the most common was pulmonary embolism (152), followed by tachyarrhythmia (92) and acute myocardial infarction (36). There were 109 major local complications, including 16 vascular injuries, 29 peripheral nerve injuries, 25 periprosthetic fractures, and 18 dislocations. Total joint arthroplasty, despite its success, can be associated with rare serious and life-threatening complications. This study provides a baseline of complications that can occur after elective joint arthroplasty.
引用
收藏
页码:139 / 145
页数:7
相关论文
共 21 条
[1]   Impact of hospital volume on operative mortality for major cancer surgery [J].
Begg, CB ;
Cramer, LD ;
Hoskins, WJ ;
Brennan, MF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 280 (20) :1747-1751
[2]  
BOETTCHER WG, 1992, CLIN ORTHOP RELAT R, P30
[3]   Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications [J].
Bullock, DP ;
Sporer, SM ;
Shirreffs, TG .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (10) :1981-1986
[4]   2,012 TOTAL HIP ARTHROPLASTIES - STUDY OF POSTOPERATIVE COURSE AND EARLY COMPLICATIONS [J].
COVENTRY, MB ;
BECKENBAUGH, RD ;
NOLAN, DR ;
ILSTRUP, DM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1974, A 56 (02) :273-284
[5]   Mortality following primary total knee arthroplasty [J].
Gill, GS ;
Mills, D ;
Joshi, AB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (03) :432-435
[6]   CHARNLEY TOTAL HIP-ARTHROPLASTY WITH CEMENT - 15-YEAR RESULTS [J].
KAVANAGH, BF ;
DEWITZ, MA ;
ILSTRUP, DM ;
STAUFFER, RN ;
COVENTRY, MB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1989, 71A (10) :1496-1503
[7]   Arthroplasty in the octogenarian - Quantifying the risks [J].
Kreder, HJ ;
Berry, GK ;
McMurtry, IA ;
Halman, SI .
JOURNAL OF ARTHROPLASTY, 2005, 20 (03) :289-293
[8]   Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002 [J].
Kurtz, S ;
Mowat, F ;
Ong, K ;
Chan, N ;
Lau, E ;
Halpern, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (07) :1487-1497
[9]   Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 [J].
Kurtz, Steven ;
Ong, Kevin ;
Lau, Edmund ;
Mowat, Fionna ;
Halpern, Michael .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) :780-785
[10]  
Lawrence RC, 1998, ARTHRITIS RHEUM-US, V41, P778, DOI 10.1002/1529-0131(199805)41:5<778::AID-ART4>3.0.CO