Total Knee Arthroplasty in Diabetic Patients.
- Author:
Churl Hong CHUN
1
;
Jin Young PARK
;
Jung Woo KIM
;
Jong Yun KIM
Author Information
1. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University Hospital, Iksan, Korea. cch@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Total knee arthroplasty
- MeSH:
Arthroplasty*;
Diabetes Mellitus;
Female;
Follow-Up Studies;
Hemostasis;
Humans;
Joints;
Knee*;
Male;
Osteoarthritis;
Venous Thrombosis;
Wound Infection;
Wounds and Injuries
- From:Journal of the Korean Knee Society
2005;17(1):105-111
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We investigated clinical and radiologic results and complications on diabetic patients with degenerative arthritis treated by total knee arthroplasty. MATERIALS AND METHODS: From March 1995 to July 2002, 56 diabetic patients among 594 TKR patients was ananlysed. Compared group was 124 patients of no medical disease. There were 52 women and 4 men, with mean age of 65.3 years (49.6~78.2) at operation. Insulin-dependent (type I) was 8 cases and noninsulin-dependent (type II) was 48 cases. We compared preoperative and postoperative knee function score, HSS score, radiologic results and complications. Mean follow up period of 38 months (21~108 months). RESULTS: HSS score improved preoperative mean 42 points to 86 postoperative and clinical knee function score estimated significant improvement (p<0.05) that 44 preop. to 82 postop. in DM TKR patients. There were 3 cases of infection (5.3%) including superficial wound infection 2 cases, deep joint infection 1 case. Deep vein thrombosis occured 2 cases (3.6%), wound problem 3 cases (5.3%), urinary infection 1 case (1.8%), cardiopulmonary complication 1 case (1.8%) and also high infection rate including wound problem (p<0.05). CONCLUSION: Total knee arthroplasty improves knee function and pain relieve in diabetic patients. But owing to high postoperative risk of infection and complication, meticulous hemostasis and careful wound closure is mandatory.
