PDF(Pubmed)
Abstract：
UNASSIGNED: The use of iodophor-impregnated adhesive drapes have become almost universally incorporated into standard practice of arthroplasty draping technique. Iodine-related allergies in patients planned for joint replacement present a challenge in terms of the best course of action to minimize complications and optimize outcomes.
UNASSIGNED: This is a retrospective case series of patients that received an iodophor-impregnated drape as part of draping for a total hip or knee arthroplasty at a single orthopaedic-specific hospital with documented iodine-related allergies. From 2015 to 2023, 9816 total hip arthroplasty and total knee arthroplasty cases were reviewed, and 135 were documented to have an iodine-related allergy for a prevalence of 1.38%. Intraoperative and postoperative records were reviewed to screen for an allergic reaction or wound healing issues that may have been related to an adverse reaction to the use of the iodophor-impregnated drape.
UNASSIGNED: Of the 135 patients, 43 had iodine listed as an allergy, 85 had shellfish, 20 had iodinated contrast media, and 3 had povidone iodine. Sixteen patients had a cluster of iodine-related allergies. There were no intraoperative reports of an allergic reaction to this drape. There were four superficial wound problems, none of which were documented to relate to an allergic dermatitis reaction, and none required further surgery.
UNASSIGNED: Patients reporting iodine-related allergies were present in 1.38% of patients undergoing hip or knee arthroplasty in our series. We encountered no allergic reactions or adverse outcomes that could be attributed to the use of iodiphor impregnated drapes in these patients.
UNASSIGNED: This is a retrospective case series of patients that received an iodophor-impregnated drape as part of draping for a total hip or knee arthroplasty at a single orthopaedic-specific hospital with documented iodine-related allergies. From 2015 to 2023, 9816 total hip arthroplasty and total knee arthroplasty cases were reviewed, and 135 were documented to have an iodine-related allergy for a prevalence of 1.38%. Intraoperative and postoperative records were reviewed to screen for an allergic reaction or wound healing issues that may have been related to an adverse reaction to the use of the iodophor-impregnated drape.
UNASSIGNED: Of the 135 patients, 43 had iodine listed as an allergy, 85 had shellfish, 20 had iodinated contrast media, and 3 had povidone iodine. Sixteen patients had a cluster of iodine-related allergies. There were no intraoperative reports of an allergic reaction to this drape. There were four superficial wound problems, none of which were documented to relate to an allergic dermatitis reaction, and none required further surgery.
UNASSIGNED: Patients reporting iodine-related allergies were present in 1.38% of patients undergoing hip or knee arthroplasty in our series. We encountered no allergic reactions or adverse outcomes that could be attributed to the use of iodiphor impregnated drapes in these patients.
摘要：
■碘伏浸渍的粘合窗帘的使用已经几乎普遍地结合到关节成形术窗帘技术的标准实践中。计划进行关节置换的患者中与碘相关的过敏在最大程度地减少并发症和优化结果的最佳行动方案方面提出了挑战。
■这是一个回顾性病例系列，患者在一家骨科专科医院接受了碘伏浸渍的悬垂作为全髋关节或膝关节置换术的一部分，并记录了与碘相关的过敏。回顾了2015年至2023年9816例全髋关节置换术和全膝关节置换术的病例，135例患者有碘相关过敏,患病率为1.38%.审查了术中和术后记录，以筛选可能与使用碘伏浸渍的悬垂布的不良反应有关的过敏反应或伤口愈合问题。
■在135名患者中，43人的碘被列为过敏，85有贝类，20有碘化造影剂，和3有聚维酮碘。16名患者患有与碘相关的过敏。术中没有对这种悬垂物的过敏反应的报告。有四个浅表性伤口问题，其中没有一个与过敏性皮炎反应有关，没有人需要进一步手术。
■在我们的系列中，接受髋关节或膝关节置换术的患者中有1.38%的患者出现碘相关过敏。我们没有遇到过敏反应或不良结果，这可能归因于这些患者使用碘福浸渍窗帘。
■这是一个回顾性病例系列，患者在一家骨科专科医院接受了碘伏浸渍的悬垂作为全髋关节或膝关节置换术的一部分，并记录了与碘相关的过敏。回顾了2015年至2023年9816例全髋关节置换术和全膝关节置换术的病例，135例患者有碘相关过敏,患病率为1.38%.审查了术中和术后记录，以筛选可能与使用碘伏浸渍的悬垂布的不良反应有关的过敏反应或伤口愈合问题。
■在135名患者中，43人的碘被列为过敏，85有贝类，20有碘化造影剂，和3有聚维酮碘。16名患者患有与碘相关的过敏。术中没有对这种悬垂物的过敏反应的报告。有四个浅表性伤口问题，其中没有一个与过敏性皮炎反应有关，没有人需要进一步手术。
■在我们的系列中，接受髋关节或膝关节置换术的患者中有1.38%的患者出现碘相关过敏。我们没有遇到过敏反应或不良结果，这可能归因于这些患者使用碘福浸渍窗帘。
