摘要
目的探讨性别、吸烟和BMI对全髋/膝关节置换术(THA/TKA)后无菌性松动(AL)发生率和人工假体使用寿命的影响.方法对2016年5月至2021年5月间在我院因THA或TKA术后假体AL接受翻修手术的所有患者进行回顾性研究.记录每位患者性别、吸烟情况、BMI及假体使用寿命.结果最终182例(THA 75例、TKA 107例)患者纳入研究.性别对THA和TKA术后假体使用寿命无影响(P>0.05).在TKA组中,吸烟与假体寿命缩短显著相关(P<0.05).对于使用骨水泥柄的THA和TKA患者,超重患者较正常体重患者AL显著增加(P<0.05),肥胖患者较正常体重患者AL也显著增加(P<0.05).结论吸烟和BMI升高与TKA术后AL发生率的增加相关.在应用骨水泥柄的THA患者中,BMI升高与AL发生率增加相关.
Objective The paper aims to determine the effects of gender,smoking,and BMI on the incidence of aseptic loosening(AL)and prosthetic life after total hip/knee arthroplasty(THA/TKA).Methods All patients who underwent revision surgery for prosthetic AL after THA or TKA at our hospital between May 2016 and May 2021 were retrospectively studied.Gender,smoking status,BMI,and prosthetic life of each patient were recorded.Results 182 patients(THA 75 cases,TKA 107 cases)included in this study.Gender had no effect on the service life of the prosthesis after THA and TKA(P>0.05).In the TKA group,smoking was significantly associated with shorter prosthetic life(P<0.05).For patients with THA and TKA treated with bone cement handles,AL was significantly increased in overweight patients compared with normal-weight patients(P<0.05),and also in obese patients compared with normal-weight patients(P<0.05).Conclusion Smoking and higher BMI is associated with increased incidence of AL after TKA.An increase in BMI is associated with an increasing incidence of AL in patients with THA who have bone cement handles.
作者
宗雅琪
刘嵬
张英剑
郝从强
ZONG Ya-qi;LIU Wei;ZHANG Ying-jian;HAO Cong-qiang(Department of Orthopedics,Bao Di Clinical College of Tianjin Medical University,Tianjin Bao Di Hospital,Tianjin 301800,China)
出处
《透析与人工器官》
2021年第3期32-34,共3页
Chinese Journal of Dialysis and Artificial Organs
关键词
全髋关节置换术
全膝关节置换术
无菌性松动
体重指数
吸烟
total hip arthroplasty(THA)
total knee arthroplasty(TKA)
aseptic loosening
body mass index
smoking
