Relations between Long-term Glycemic Control and Postoperative Wound and Infectious Complications after Total Knee Arthroplasty in Type 2 Diabetics
Clinics in Orthopedic Surgery
; : 118-123, 2013.
Article
ي En
| WPRIM
| ID: wpr-186819
المكتبة المسؤولة:
WPRO
ABSTRACT
BACKGROUND: The authors examined whether poor preoperative glucose control, as indicated by the hemoglobin A1c (HbA1c) level of more than 8%, is associated with postoperative wound and infectious complications in diabetic patients that have undergone total knee arthroplasty (TKA). METHODS: One hundred and sixty-seven TKAs performed in 115 patients with type 2 diabetes mellitus, from January 2001 through March 2007, were retrospectively reviewed. Logistic regression was used to identify the variables that had a significant effect on the risk of wound complications or early deep infection. The variables considered were age, gender, body mass index, comorbidities, operation time, antibiotic-impregnated cement use, amount of blood transfusion, close suction drain use, duration of diabetes, method of diabetes treatment, diabetes complications, and preoperative HbA1c level. RESULTS: The overall incidence of wound complications was 6.6% (n = 11) and there were seven cases (4.2%) of early postoperative deep infection. Logistic regression revealed that the independent risk factors of wound complications were preoperative HbA1C > or = 8% (odds ratio [OR], 6.07; 95% confidence interval [CI], 1.12 to 33.0) and operation time (OR, 1.01; 95% CI, 1.00 to 1.03). No variable examined was found to be significantly associated with the risk of early postoperative deep infection. CONCLUSIONS: Poorly controlled hyperglycemia before surgery may increase the incidence of wound complications among diabetic patients after TKA.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Surgical Wound Infection
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Blood Glucose
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Glycated Hemoglobin
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Logistic Models
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Incidence
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Retrospective Studies
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Arthroplasty, Replacement, Knee
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Diabetes Mellitus, Type 2
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Glucose
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Hypoglycemic Agents
نوع الدراسة:
Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
المحددات:
Aged
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Aged80
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Female
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Humans
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Male
اللغة:
En
مجلة:
Clinics in Orthopedic Surgery
السنة:
2013
نوع:
Article