Possible Risk Factors for Severe Complications Occurring after Primary Total Knee Arthroplasty |
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| Institution: | 1. Department of Anesthesiology; Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;2. Department of Orthopedic Surgery; Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;1. School of Basic Medical Sciences, Shandong University, Jinan 250012, China;2. Zhejiang University Medical Center, Hangzhou 311121, China;3. Department of Neurology, Pingdu People’s Hospital, Qingdao, Shandong 266799, China;4. Department of Neurology, Affiliated Hospital of Jining Medical College, Jining, Shandong 272007, China;1. Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia;2. Murcia Twin Registry, Department of Human Anatomy and Psychobiology, University of Murcia, Murcia, Spain;3. Murcia Institute for Biomedical Research (IMIB-Arrixaca), Murcia, Spain;4. School of Public Health, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia;1. Department of Anesthesiology; Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;2. Medical Research Center; Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;1. School of Basic Medicine, Bengbu, Anhui 233030, China;2. Anhui Key Laboratory of Computational Medicine and Intelligent Health, Bengbu, Anhui 233030, China;3. Clinical Medical College; Bengbu Medical College, Bengbu, Anhui 233030, China;4. Department of Otolaryngology, First Affiliated Hospital, Bengbu Medical College, Bengbu, Anhui 233030, China;5. Department of Surgical Oncology, Second Affiliated Hospital, Bengbu Medical College, Bengbu, Anhui 233030, China;1. Department of Pediatrics, Zhongda Hospital, Southeast University, Nanjing 210009, China;2. Teaching and Research Section of Pediatrics, Southeast University School of Medicine, Nanjing 210009, China |
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| Abstract: | ObjectiveTotal knee arthroplasty is one of the most common orthopedic surgeries. Readmission due to severe complications after total knee arthroplasty is a grave concern to surgeons. In this study, we evaluated the risk factors for severe complications after primary total knee arthroplasty.MethodsWe retrospectively collected clinical data of 2,974 patients who underwent primary total knee arthroplasty from July 2013 to June 2019 in our hospital. Postoperative complication > grade IE was defined as severe complication according to Clavien-Dindo classification system. Binary logistic regression was used to identify the predictive risk factors for severe complications.ResultsThe complication rate after primary total knee arthroplasty was 6.8% and severe complication rate was 2.5%. Male (OR = 2.178, 95%CI: 1.324-3.585, P = 0.002), individuals above 75 years old (OR = 1.936, 95%CI: 1.155-3.244, P = 0.012), arrhythmia (OR = 2.913, 95%CI: 1.350-6.285, P = 0.006) and cerebrovascular disease (OR = 2.804, 95%CI: 1.432-5.489, P = 0.003) were predictive risk factors for severe complications after primary total knee arthroplasty.ConclusionAdvanced age, male, arrhythmia, and cerebrovascular disease might be patients-related risk factors for postoperative severe complications after primary total knee arthroplasty. Special attention should be paid to patients with risk factors. |
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| Keywords: | primary total knee arthroplasty postoperative complications risk factor |
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