Clinical Outcome Evaluation of Primary Total Knee Arthroplasty in Patients with Diabetes Mellitus

Abstract

BackgroundThe aim of this study was to evaluate the safety and clinical outcome of primary total knee arthroplasty in patients with diabetes mellitus.Material/MethodsAmong the patients who were treated with total knee arthroplasty, there were 98 patients (116 knees) associated with diabetes. Osteoarthritis was diagnosed in 90 patients and rheumatoid arthritis was diagnosed in 8 patients. Various degrees of preoperative knee deformities were found in 82 knees. The average fasting blood glucose was 9.8±3.6 mmol/L at admission.ResultsThe clinical efficacy of TKA was satisfactory in patients with diabetes mellitus. Diabetic patients do not seem to have a significantly higher risk for infection and DVT after TKA. At the final follow-up time point, no prosthesis loosening was found and no revision was needed in any patients. The mean HSS scores increased and the excellent rate was 100%.ConclusionsUsing perioperative comprehensive assessment of heart and lung function, and by preventing infection and the formation of DVT, we achieved satisfactory early clinical efficacy of TKA in patients with diabetes mellitus.

Multimodal Conservative Treatment of Complicated Open Wound After Total Knee Replacement Arthroplasty in Patients With Comorbidities

“…12,16,17 Diabetic patients have low body resistance, poor tissue-healing ability, and high incidence of complications, including stroke. 18,19 Diabetes increases the incidence of conditions such as deep venous thrombosis and infections. 18,20,21 Patients with diabetes had significantly lower knee flexion and smaller postsurgical improvements than patients without diabetes.…”

“…18,19 Diabetes increases the incidence of conditions such as deep venous thrombosis and infections. 18,20,21 Patients with diabetes had significantly lower knee flexion and smaller postsurgical improvements than patients without diabetes. 22 The cost of treating obese patients rises as BMI increases, as does the incidence of revision surgery.…”