Hip arthroplasty in patients with cirrhosis of the liver

被引：37

作者：

Hsieh, PH ^{[1
]}

Chen, LH ^{[1
]}

Lee, MS ^{[1
]}

Chen, CH ^{[1
]}

Yang, WE ^{[1
]}

Shih, CH ^{[1
]}

机构：

[1] Chang Gung Mem Hosp, Taoyuan, Taiwan

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2003年 / 85B卷 / 06期

关键词：

FOLLOW-UP; ACETABULAR RECONSTRUCTION; ABDOMINAL OPERATIONS; MORTALITY; MORBIDITY; SURGERY;

D O I：

10.1302/0301-620X.85B6.14278

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：

We retrospectively reviewed 45 hip arthroplasties which were performed over a period of 20 years in 38 patients with cirrhosis of the liver. There was a high perioperative 30-day complication rate (26.7%). Advanced cirrhosis was associated with a higher risk of complications (p = 0.004) as also was increased age, a high level of creatinine, a low level of albumin, a low platelet count, ascites, encephalopathy and an increased operative blood loss. The survival of the prosthesis at five years was 77.8% and infection was a major cause of failure. In view of the high rate of early complications and the limited longevity of the prosthesis, surgeons who perform hip arthroplasty on such patients should counsel them appropriately preoperatively.

引用

页码：818 / 821

页数：4

共 29 条

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