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KMID : 0361620090440050526
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Journal of the Korean Orthopaedic Association
2009 Volume.44 No. 5 p.526 ~ p.532
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Total Hip Arthroplasty in Patients with Diabetes Mellitus
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Suh Kuen-Tak
Kim Jeung-Il
Lee Jung-Sub
Lee Hong-Seok
Kim Myoung-Soo
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Abstract
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Purpose: The purpose of present study is to analyze the incidence and the predisposing factors for postoperative complications that diabetes mellitus (DM) patients suffer after undergoing total hip arthroplasty.
Materials and Methods: Among the 379 patients who underwent primary cementless total hip arthroplasty from September 1998 to February 2007, fifty-nine patients (62 hips) who had DM were selected and the other 320 patients (378 hips) without DM were set as a control group to perform comparative analysis. The mean follow up period was 36 months (range, 12-117 months) and the mean age of patients was 55.5 years (range, 16-79 years). The preoperative and annual postoperative Harris Hip Score (HHS) and the postoperative complications were checked. We analyzed the factors that were associated with the incidence of postoperative complications in DM patients.
Results: The DM group had a higher incidence of urinary tract infection and a longer admission period than did non-DM group (p=0.001 and p=0.002). The HHS was 52 and 53 (p=0.185), respectively, for the DM patients and the non-DM patients preoperatively, and it was 93 and 95 (p=0.467), respectively, at the last follow up. The predisposing factors for postoperative complications in DM patients are a high hemoglobin A1c (HbA1c) level and comorbidities.
Conclusion: Total hip arthroplasty in DM patients is associated with a higher incidence of postoperative complications and a prolonged admission period. A high HbA1c level and comorbidities are considered to have significant associations with these complications.
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KEYWORD
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Diabetes mellitus, Total hip arthroplasty, Complications
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