지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.1
- 수록면
- 129 - 137 (9page)
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Purpose: To compare the clinical outcome and complications following total knee arthroplasty (TKA) in diabetic and non-diabetic patients, and to identify diabetes-related risk factors for negative outcomes. Materials and Methods: 222 primary TKAs in patients with diabetes were evaluated using Knee Society scores and Hospital for Special Surgery score. Postoperative complications were reviewed retrospectively. The mean follow-up was 53.2 months. The effect of diabetes- related factors and comparison with a matched control group were analyzed statistically. Results: Significant improvements were noted in all the scores after TKA (p<0.05). There was no statistical difference in clinical sores between the diabetic and non-diabetic patients. In multivariate analysis associating age, gender and body mass index with pain and knee score at the latest follow-up, the average knee scores in normal and overweight group were found to be significantly higher than those in the obese group. The diabetic patients had an increased overall incidence of postoperative complications (17.6%) compared with the control group (8.1%) (p<0.05). Particularly, the rate of wound complications such as skin necrosis, bulla formation or erythema with drainage was higher in the diabetic group (p<0.05). Diabetes-related factors did not influence the incidence of complications. Associated diseases were the only significant risk factors correlated with wound complications and meniscal bearing dislodgement. Conclusion: Patients with diabetes can benefit from TKA, even though diabetic patients are at an increased risk for overall postoperative and wound complications. Preoperative factors such as obesity and associated diseases may adversely affect the clinical outcome of TKA in diabetic patients.
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참고문헌 (26)
참고문헌 신청
Bostman OM / 1994 / Prevalence of obesity among patients admitted for elective orthopaedic surgery / Int J Obes Relat Metab Disord 18 : 709 ~ 713
Brenner RE / 1992 / Defective stimulation of proliferation and collagen biosynthesis of human bone cells by serum from diabetic patients / Acta Endocrinol (Copenh) 127 : 509
Chiu FY / 2001 / Cefuroxime-impregnated cement at primary total knee arthroplasty in diabetes mellitus. A prospective, randomised study / J Bone Joint Surg Br 83 : 691 ~ 695
Cozen L / 1971 / Does diabetes delay fracture healing? / Clin Orthop Relat Res 83 : 134 ~ 140
Einhorn TA / 1996 / The mineral and mechanical properties of bone in chronic experimental diabetes / J Orthop Res 6 : 317 ~ 323
Brenner RE / 1992 / Defective stimulation of proliferation and collagen biosynthesis of human bone cells by serum from diabetic patients / Acta Endocrinol (Copenh) 127 : 509
Chiu FY / 2001 / Cefuroxime-impregnated cement at primary total knee arthroplasty in diabetes mellitus. A prospective, randomised study / J Bone Joint Surg Br 83 : 691 ~ 695
Cozen L / 1971 / Does diabetes delay fracture healing? / Clin Orthop Relat Res 83 : 134 ~ 140
Einhorn TA / 1996 / The mineral and mechanical properties of bone in chronic experimental diabetes / J Orthop Res 6 : 317 ~ 323
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