Total knee arthroplasty in dialysis patients: Is it safe? A systematic review of the literature

被引：8

作者：

Gkiatas, Ioannis ^{[1
]}

Xiang, William ^{[1
]}

Karasavvidis, Theofilos ^{[2
]}

Windsor, Eric N. ^{[3
]}

Sharma, Abhinav K. ^{[3
]}

Sculco, Peter K. ^{[1
]}

机构：

[1] Hosp Special Surg, Stavros Niarchos Fdn Complex Joint Reconstruct Ct, New York, NY 10022 USA

[2] Aristotle Univ Thessaloniki, Sch Med, Fac Hlth Sci, Thessaloniki, Greece

[3] Hosp Special Surg, Adult Reconstruct & Joint Replacement, New York, NY 10022 USA

来源：

JOURNAL OF ORTHOPAEDICS | 2021年 / 25卷

关键词：

Total knee arthroplasty; Dialysis; Renal failure; Complications; TOTAL HIP; DEPENDENT PATIENTS; REPLACEMENT; REVISION; EPIDEMIOLOGY; HEMODIALYSIS; MORTALITY; RISK;

D O I：

10.1016/j.jor.2021.05.025

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：

Purpose: This systematic review characterizes the safety and efficacy of total knee arthroplasty (TKA) in end stage renal disease (ESRD) patients due to the unique challenges they face. Results: The cumulative complication rate for 3684 patients on dialysis for ESRD after primary TKA was 25%(N = 925/3702), with incidence rates of 2.5%(N = 92/3702) for periprosthetic joint infection, 3.7%(N = 71/1895) for reoperations, and 2.5%(N = 90/3578) for mortality. Conclusion: Patients on dialysis for ESRD face significant mortality rates after primary TKA, in addition to other major complications. Careful counseling regarding risks and benefits should be provided prior to TKA in this population.

引用

页码：199 / 206

页数：8

共 42 条

[1]

Al-Nammari S S, 2008, J Orthop Surg (Hong Kong), V16, P54

[2] Mortality After Total Knee Arthroplasty A Systematic Review of Incidence, Temporal Trends, and Risk Factors [J].

Berstock, James R. ;

Beswick, Andrew D. ;

Lopez-Lopez, Jose A. ;

Whitehouse, Michael R. ;

Blom, Ashley W. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2018, 100 (12) :1064-1070

[3] Periprosthetic Joint Infections Treated with Two-Stage Revision over 14 Years: An Evolving Microbiology Profile [J].

Bjerke-Kroll, Benjamin T. ;

Christ, Alexander B. ;

McLawhorn, Alexander S. ;

Sculco, Peter K. ;

Jules-Elysee, Kethy M. ;

Sculco, Thomas P. .

JOURNAL OF ARTHROPLASTY, 2014, 29 (05) :877-882

[4] Peritoneal Dialysis Does Not Carry the Same Risk as Hemodialysis in Patients Undergoing Hip or Knee Arthroplasty [J].

Browne, James A. ;

Casp, Aaron J. ;

Cancienne, Jourdan M. ;

Werner, Brian C. .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2019, 101 (14) :1271-1277

[5]

Chen Jen-Hung, 2014, Biomed J, V37, P84, DOI 10.4103/2319-4170.117897

[6]

Descamps-Latscha B, 1993, Curr Opin Nephrol Hypertens, V2, P883, DOI 10.1097/00041552-199311000-00005

[7]

Doyle DJ, 2018, ASA CLASS

[8] Hospital Length of Stay following Primary Total Knee Arthroplasty: Data from the Nationwide Inpatient Sample Database [J].

El Bitar, Youssef F. ;

Illingworth, Kenneth D. ;

Scaife, Steven L. ;

Horberg, John V. ;

Saleh, Khaled J. .

JOURNAL OF ARTHROPLASTY, 2015, 30 (10) :1710-1715

[9]

FLOEGE J, 1994, CLIN NEPHROL, V42, pS52

[10] Readmission, Reoperation, and Complications: Total Hip vs Total Knee Arthroplasty [J].

George, Jaiben ;

Chughtai, Morad ;

Khlopas, Anton ;

Klika, Alison K. ;

Barsoum, Wael K. ;

Higuera, Carlos A. ;

Mont, Michael A. .

JOURNAL OF ARTHROPLASTY, 2018, 33 (03) :655-660

← 1 2 3 4 5 →