Artificial Joint Replacement in Patients with Type 2 Diabetes Mellitus: 18 Cases Mid-term Follow-up
- VernacularTitle:糖尿病患者人工髋关节置换的中期疗效及相关因素分析
- Author:
Bao-peng TIAN
;
Xin LIN
;
Meng-yuan LI
- Publication Type:Journal Article
- Keywords:
diabetes mellitus, artificial joint replacement, fasting blood glucose(FBG)
- From:
Chinese Journal of Rehabilitation Theory and Practice
2006;12(11):997-998
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the feasibility of artificial joint replacement in patients complicated with type 2 diabetes mellitus(DM).Methods18 patients with DM accepted the artificial joint replacement after fracture at the femoral neck.They were followed-up with the Harris hip score and radiographs for average 45.5 months(range 23~86 months).The fasting blood glucose(FBG) levels and other associated indexes were monitored during the periods after operation.ResultsAll the patients can walk freely except 3 elder patients that walk with the help of crutch.Radiographic studies showed that 13 cases were excellent,osteophytes appeared around acetabulum in 4 cases,among which 2 cases had the decrease in the hip joint space,and the subsidence appeared in other 2 cases but it was less than 2 mm.The mean of Harris hip score was(81.9±14.8).The body weight index and the level of PBG were negatively correlated with the outcomes of Harris hip score.ConclusionPatients with type 2 diabetes mellitus may accept artificial joint replacement well.It is very important to maintain the body weight and the level of PRG in a normal range after operation.