未经授权:打捞程序,如近侧行腕管切除术,4角融合,全腕关节置换术,和全腕关节固定术通常用于腕关节关节炎的末期。这些手术的并发症发生率很高,关于程序的选择存在重大争议。长期口服糖皮质激素治疗先前已被确定为多种骨科手术并发症的危险因素。这项研究的目的是探讨长期口服术前皮质类固醇对腕关节关节炎不同抢救手术后并发症的影响。
UNASSIGNED:查询了国家外科质量改善计划数据库,以确定接受近行腕管切除术的患者,4角融合,全腕关节置换术,或在2005年至2020年之间进行腕部融合。根据类固醇的使用对患者进行分类。采用单因素分析和多因素logistic回归评估并发症发生的风险。
未经证实:共确认1298例患者。总的来说,发现使用类固醇与较高的并发症发生率独立相关.在接受四角融合的患者的多变量分析中,发现使用类固醇与较高的并发症发生率和手术部位感染率相关.在接受近排腕管切除术的患者中,使用类固醇与并发症增加无关。全腕关节置换术,或单独检查时的全手腕融合。
UNASSIGNED:长期口服皮质类固醇治疗与四角融合患者术后感染风险增加相关,在其他手腕打捞行动中没有发现。
UNASSIGNED: Salvage procedures such as proximal row carpectomy, 4-corner fusion, total wrist arthroplasty, and total wrist arthrodesis are commonly used at the end stages of wrist arthritis. These operations have high complication rates, and significant controversy exists regarding the selection of procedure. Long-term oral glucocorticoid therapy has previously been identified as a risk factor for complications in multiple orthopedic procedures. The purpose of this study is to investigate the effect long-term oral preoperative corticosteroid use has on complications after different salvage operations for wrist arthritis.
UNASSIGNED: The National Surgical Quality Improvement Program database was queried to identify patients who underwent proximal row carpectomy, 4-corner fusion, total wrist arthroplasty, or total wrist fusion between 2005 and 2020. Patients were classified by steroid use. Univariate analysis and multivariate logistic regression were used to assess the risk of complications.
UNASSIGNED: A total of 1298 patients were identified. Overall, steroid use was found to be independently associated with a higher complication rate. On multivariate analysis of patients who underwent 4-corner fusion, steroid use was found to be associated with higher complication rate and surgical site infection rate. Steroid use was not associated with increased complications in patients who underwent proximal row carpectomy, total wrist arthroplasty, or total wrist fusion when examined individually.
UNASSIGNED: Long-term oral corticosteroid therapy was associated with an increased risk of postoperative infections in patients who underwent 4-corner fusion, which was not found in other wrist salvage operations.