分析膝关节镜手术相关并发症的发生率

J. Ahmed, A. Ghaffar, MU Farooque, MR Kifayatullah, S. Hussain, K. Anwar
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引用次数: 0

摘要

膝关节镜是一种诊断和治疗膝关节疾病的微创手术技术。虽然总体上是安全的,但也可能出现并发症,从轻微的感染到严重的神经损伤或化脓性关节炎。了解这些并发症对于优化患者护理至关重要。目的:探讨膝关节置换术相关并发症的发生率:探讨膝关节镜手术相关并发症的发生率。方法:在获得机构审查委员会的伦理批准后,这项回顾性队列研究于 23 年 9 月 1 日至 24 年 2 月 29 日在卡拉奇 JPMC 进行。通过非概率连续抽样,本研究纳入了年龄在 18 至 50 岁之间、性别不限、接受择期关节镜手术的患者。详细记录手术和恢复期间的困难,如感染、血凝块、神经损伤和机械问题,对于评估负面结果的发生频率和严重程度至关重要。研究结果关节镜手术中最常见的是滑膜切除术(79%),其次是半月板切除术(78%)。在本研究中,关节镜手术后并发症的发生率为 23%。本研究观察到的并发症包括化脓性关节炎(33%),其次是神经、血管或韧带损伤以及表皮感染(20%)。结论膝关节镜手术是一种微创手术,一般比较安全,并发症发生率较低。在这一系列手术中,有15例(2%)并发症,其中5例(33%)明确涉及化脓性关节炎。
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ANALYSING THE INCIDENCE OF COMPLICATIONS ASSOCIATED WITH KNEE ARTHROSCOPY
Knee arthroscopy is a minimally invasive surgical technique for diagnosing and treating knee conditions. While generally safe, complications can occur, ranging from minor infections to severe nerve damage or septic arthritis. Understanding these complications is essential for optimal patient care. Objective: To explore the occurrence of complications related to knee arthroscopy. Methods: After the ethical approval from the institutional review board, this retrospective cohort study was conducted at JPMC Karachi from 01/09/23 to 29/02/24. Through the non-probability consecutive sampling, patients between ages 18 and 50, either gender and patients undergoing elective arthroscopy procedures were included in the present study. Detailed documentation of difficulties during surgery and recovery, such as infections, blood clots, nerve damage, and mechanical issues, is crucial for assessing the frequency and seriousness of negative outcomes. Results: Synovectomy (79%) followed by Meniscectomy 78% was the common arthroscopic procedure performed. The incidence of complications after the arthroscopic procedure in the present study was 23%. Septic arthritis (33%), followed by Neural, vascular, or ligament injury and superficial infections (20%) were the complications observed in the present study. Conclusion: Arthroscopic knee surgeries are minimally invasive, generally safe procedures with low complication rates. Within this series were 15 (2%) complications, with five occurrences (33%) explicitly involving septic arthritis.
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