期刊
JOURNAL OF ORTHOPAEDICS
卷 25, 期 -, 页码 199-206出版社
ELSEVIER
DOI: 10.1016/j.jor.2021.05.025
关键词
Total knee arthroplasty; Dialysis; Renal failure; Complications
类别
Patients with ESRD on dialysis have significant mortality rates and other major complications after primary TKA, highlighting the importance of careful counseling regarding risks and benefits before the procedure.
Purpose: This systematic review characterizes the safety and efficacy of total knee arthroplasty (TKA) in end stage renal disease (ESRD) patients due to the unique challenges they face. Results: The cumulative complication rate for 3684 patients on dialysis for ESRD after primary TKA was 25%(N = 925/3702), with incidence rates of 2.5%(N = 92/3702) for periprosthetic joint infection, 3.7%(N = 71/1895) for reoperations, and 2.5%(N = 90/3578) for mortality. Conclusion: Patients on dialysis for ESRD face significant mortality rates after primary TKA, in addition to other major complications. Careful counseling regarding risks and benefits should be provided prior to TKA in this population.
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