Systemic medical complications following total ankle arthroplasty: A review of the evidence

被引：2

作者：

Curlewis, Keegan ^{[1
]}

Leung, Brook ^{[2
]}

Sinclair, Lucy ^{[3
]}

Chan, Gareth ^{[4
]}

Bendall, Stephen ^{[5
]}

Ricketts, David ^{[5
]}

机构：

[1] Royal Free London NHS Fdn Trust, London, England

[2] Barts Heath NHS Trust, London, England

[3] Royal Sussex Cty Hosp, Audrey Emerton Bldg, Eastern Rd, Brighton BN2 5BE, England

[4] Royal Sussex Cty Hosp, Eastern Rd, Brighton BN2 5BE, England

[5] Royal Sussex Cty Hosp, Eastern Rd, Brighton BN2, England

来源：

FOOT AND ANKLE SURGERY | 2022年 / 28卷 / 07期

关键词：

Arthroplasty; Replacement; Ankle; Informed consent; Postoperative period; Review; Body weight; Venous thromboembolism; PERIOPERATIVE COMPLICATIONS; RISK-FACTORS; OUTPATIENT; INPATIENT; MORTALITY; MORBIDITY; OUTCOMES; OBESITY; STAY;

D O I：

10.1016/j.fas.2021.10.012

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：

Background: Total Ankle Arthroplasty (TAA) is increasingly undertaken for the treatment of end-stage ankle arthritis. For each TAA procedure informed consent is required. The consent process should include dis-cussion of the relevant complications, both systemic and regional. There is a lack of data regarding the systemic complications of TAA. This might cause problems in obtaining valid informed consent. Methods: We reviewed and summarised the literature regarding the systemic complications and mortality rate of TAA. Results: The average rate of systemic medical complications after TAA was 3% (range: 0-7%). The average mortality rate following TAA was 0.3% (range: 0-0.72%). The following were risk factors for systemic medical complications: obesity, diabetes, systemic co-morbidities, preoperative blood transfusion, revision procedures, and long anaesthetic duration. Conclusions: When obtaining informed consent for TAA a systemic complication rate of 3% and a mortality rate of 0.3% ought to be included and documented. (c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：804 / 808

页数：5