Hip & pelvis

  • 제34권3호
  • /
  • Pages.127-139
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  • 2022
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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Clinical Outcomes following Primary Hip Replacement Arthroplasties in Patients with Solid Organ Transplantation: A Systematic Review and Meta-Analysis

  • Chul-Ho Kim (Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Eic Ju Lim (Department of Orthopedic Surgery, College of Medicine, Chungbuk National University) ;
  • Jeuk Lee (Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine)
  • 투고 : 2022.03.27
  • 심사 : 2022.06.18
  • 발행 : 2022.09.30
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초록

There is still controversy regarding clinical outcomes following primary hip arthroplasty after solid organ transplantation (SOT). The aim of this study was to determine whether clinical outcomes after hip arthroplasty differ between previous SOT recipients and control subjects with no history of undergoing SOT. We conducted a systematic search of MEDLINE, Embase, and the Cochrane Library for studies comparing the clinical outcomes after hip arthroplasty following SOT published up to January 5, 2022. A comparison of medical and surgery-related complications, as well as the readmission rate and 90-day mortality rate between previous SOT recipients and control subjects was performed. Subgroup analyses of the SOT types, liver transplantation (LT) and kidney transplantation (KT), were also performed. Ten studies that included 3,631,861 cases of primary hip arthroplasty were included; among these, 14,996 patients had previously undergone SOT and 3,616,865 patients had not. Significantly higher incidences of cardiac complications, pneumonia, and acute kidney injury were observed in the SOT group compared with the control group. Regarding surgical complications, a higher transfusion rate was observed in the SOT group. The readmission rate and 90-day mortality rate were also significantly higher in the SOT group. A significantly higher incidence of deep vein thrombosis was observed in the KT subgroup compared with the control group. A higher risk of medical and surgical complications, as well as higher readmission and mortality rates after hip arthroplasty was observed for previous SOT recipients compared to patients with no history of SOT.

키워드

과제정보

This work was supported by the 2021 Hip & Pelvis Research grant funded by the Korean Hip Society.

참고문헌

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