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KMID : 0386719950070020181
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Journal of the Korean Hip Society
1995 Volume.7 No. 2 p.181 ~ p.187
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Relation between Perioperative Nutritional Status and Delayed Wound Healing after THA
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Abstract
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In total hip arthroplasty, there is alarmingly high frequency of the subclinical perioperative malnutrition which is easily neglected. Nutritional status has a close relationship with the normal wound healing mechanism. So it is important to
determine
the most sensitive index for detecting perioperative nutritional depletion.
We performed study about the relation between the perioperative nutritional status and the delayed wound healing after total hip arthroplasty. For this study, we reviewed 74 cases of toal hip arthroplasties and analysed various indices of
nutritional
status.
@ES Following results were obtained:
@EN 1. Delayed wound healing complicated 18 of the 74(24.3%) total hip arthroplasties.
2. There was significant trend for patients with delayed wound healing to be older than those with normal wound healing(67.3 years versus 54.7 years; p<0.05). Delayed wound healing group also had tendency to be more obese than normal healing
group(p<0.05).
3. Statistically significant perioperative nutritional indices which were related to the delayed wound healing were the serum albumin level and the serum transforrin level(P<0.05).
4. Moderate to severe albumin depletion were observed in 13 cases preoperatively and all of them had delayed wound healing. Preoperatively, moderate to severe transferrin depletion were observed in 23% of normal healing group and 83% of delayed
wound
healing group.
5. Postoperatively, 90% and 89% of all 74 cases were found to have at least moderate serum albumin and transferrin depletion respectively.
6. The patients with delayed wound healing had complete wound healing until 24 days after surgery except three patients complicated wound infection.
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KEYWORD
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