{"title":"糖尿病和全关节置换术-应该考虑什么？］","authors":"Michael Müller, Patrick Weber","doi":"10.1007/s00132-024-04598-0","DOIUrl":null,"url":null,"abstract":"<p><p>Diabetes mellitus (DM) is on the rise in the population. Approximately 10% of adults suffer from DM. Over two-thirds of patients are over 60 years old, and thus it particularly affects patients who have to undergo total joint arthroplasty. Patients with DM have an increased risk of surgical site infection and periprosthetic infections. The risk particularly affects patients with inadequately controlled DM. Diabetes control can be monitored using HbA<sub>1c</sub>, which correlates with both the adjustment and the risk of infection. HbA<sub>1c</sub> should therefore be determined in all patients with DM before a prosthesis is implanted. Patients with HbA<sub>1c</sub> over 8% should be seen by a diabetologist and have their blood sugar control optimized.</p>","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"129-134"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Diabetes mellitus and total joint arthroplasty-What should be considered?]\",\"authors\":\"Michael Müller, Patrick Weber\",\"doi\":\"10.1007/s00132-024-04598-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Diabetes mellitus (DM) is on the rise in the population. Approximately 10% of adults suffer from DM. Over two-thirds of patients are over 60 years old, and thus it particularly affects patients who have to undergo total joint arthroplasty. Patients with DM have an increased risk of surgical site infection and periprosthetic infections. The risk particularly affects patients with inadequately controlled DM. Diabetes control can be monitored using HbA<sub>1c</sub>, which correlates with both the adjustment and the risk of infection. HbA<sub>1c</sub> should therefore be determined in all patients with DM before a prosthesis is implanted. Patients with HbA<sub>1c</sub> over 8% should be seen by a diabetologist and have their blood sugar control optimized.</p>\",\"PeriodicalId\":74375,\"journal\":{\"name\":\"Orthopadie (Heidelberg, Germany)\",\"volume\":\" \",\"pages\":\"129-134\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopadie (Heidelberg, Germany)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s00132-024-04598-0\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopadie (Heidelberg, Germany)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s00132-024-04598-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/7 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
[Diabetes mellitus and total joint arthroplasty-What should be considered?]
Diabetes mellitus (DM) is on the rise in the population. Approximately 10% of adults suffer from DM. Over two-thirds of patients are over 60 years old, and thus it particularly affects patients who have to undergo total joint arthroplasty. Patients with DM have an increased risk of surgical site infection and periprosthetic infections. The risk particularly affects patients with inadequately controlled DM. Diabetes control can be monitored using HbA1c, which correlates with both the adjustment and the risk of infection. HbA1c should therefore be determined in all patients with DM before a prosthesis is implanted. Patients with HbA1c over 8% should be seen by a diabetologist and have their blood sugar control optimized.
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