Jean G Louka, Eslam Alkaramany, Nacime S Mansur, Gregory P Guyton
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引用次数: 0
Abstract
Background: Total ankle arthroplasty (TAA) is increasingly common, but risk of amputation after TAA is poorly defined.
Methods: Patients who underwent TAA between 2010 and 2018 and were verified to be continuously enrolled in a commercial insurance database for 5 subsequent years were evaluated for subsequent lower extremity amputation.
Results: A total of 6439 patients underwent primary TAA; 2134 (33.2%) had diabetes. Over 5 years, 39 major amputations occurred (0.60%). Patients with diabetes had a significantly higher risk of amputation than those without diabetes (0.98% vs 0.42%; RR 2.35 [95% CI 1.26-4.40]; p = 0.0095).
Conclusions: In this study, the 5-year rate of major amputation following primary TAA was 0.60% overall. The rate was 0.98% in diabetic patients, significantly higher than that in non-diabetic patients. Careful patient selection and optimization of glycemic control remain essential when considering total ankle arthroplasty.
背景：全踝关节置换术（TAA）越来越普遍，但TAA后截肢的风险定义不清。方法：在2010年至2018年期间接受TAA并在随后的5年中被验证连续登记在商业保险数据库中的患者对随后的下肢截肢进行评估。结果：6439例患者接受了原发性TAA；2134人（33.2%）患有糖尿病。5年内发生39例严重截肢（0.60%）。糖尿病患者截肢风险明显高于无糖尿病患者（0.98% vs 0.42%; RR 2.35 [95% CI 1.26-4.40]; p = 0.0095）。结论：在本研究中，原发性TAA术后5年主要截肢率总体为0.60%。糖尿病患者的发生率为0.98%，明显高于非糖尿病患者。在考虑全踝关节置换术时，仔细选择患者和优化血糖控制仍然是必不可少的。
期刊介绍：
Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society.
The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.
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