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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 661-666
DOI: 10.1055/s-0041-1736309
Artigo Original
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Factors Associated with the Development of Early Complications after Total Knee Arthroplasty

Article in several languages: português | English
Matheus Rizério Tavares 
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
,
Savio Diego Ribeiro de Alencar 
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
,
Samir Peixoto Frazão
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
,
Matheus Lemos Azi 
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
,
David Sadgursky 
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
,
Daniel Alencar 
1   Departamento de Ortopedia e Traumatologia do Hospital Manoel Victorino, Salvador, BA, Brasil
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Abstract

Objective To diagnose risk factors for the development of local or medical postoperative complications up to 30 days after surgery in patients undergoing total knee arthroplasty

Methods The present analysis included all patients who underwent knee arthroplasty performed in this hospital during the study period, based on data from medical records of the patients, with the aim of investigating factors related to the occurrence of local or medical complications during hospitalization and up to 30 days after the procedure, if they needed any additional intervention.

Results Out of the 157 patients included in the study, 17.1% had some complication. The most prevalent were arthrofibrosis (6.4%), deep infection (4.4%), and superficial infection (2.5%), among others. Older patients and a greater number of previous comorbidities were associated with a higher risk of postoperative complications.

Conclusions Older patients and a greater number of comorbidities were related to an increased risk of postoperative complications. The American Society of Anesthesiologists (ASA) score proved to be insufficient to assess the occurrence of complications after knee arthroplasty and new tools should be used for this purpose.

Keywords

arthroplasty - arthroplasty, replacement, knee - comorbidities - complications - knee

Work developed at the Hospital Manoel Victorino, Salvador, Bahia, Brazil.




Publication History

Received: 23 August 2020

Accepted: 13 May 2021

Article published online:
28 October 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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