Total Joint Arthroplasty

• DOI: 10.2106/jbjs.e.01443
• Publication Date: 2007-01-03T15:52:05Z
• Authors: Javad Parvizi; Alan Mui; James J. Purtill; Peter F. Sharkey; William J. Hozack; Richard H. Rothman
• Keywords: Joint arthroplasty

Background: With the recent trend toward minimally invasive total joint arthroplasty and increased emphasis on faster recovery shorter hospital stays, it has become increasingly important to recognize timing severity of various complications associated with elective ensure that early patient discharge is a safe practice. Methods: We evaluated systemic local primary unilateral lower-extremity arthroplasties performed during one year in 1636 patients. A 966 patients had hip arthroplasty, 670 knee arthroplasty. All occurred for six weeks following index surgery were recorded. The circumstances leading details therapeutic intervention each complication Analyses predict factors predispose serious complications. Results: One (0.06%) cohort died stay. There 104 major (life-threatening) complications, including cardiac arrest (one), tachyarrhythmia (thirty-three), pulmonary edema or congestive heart failure (ten), myocardial infarction (six), hypotensive crisis (four), embolus (twenty-five), acute renal (fourteen), stroke bowel obstruction perforation (three), pneumothorax (one). seventeen Ninety-four (90%) within four days after surgery. Although older age, body mass, preexistent comorbidities predisposing medical 58% who life-threatening develop no identifiable factors. Conclusions: This study demonstrated most replacement occur time-frame typical Given nature some these inability identify many may be at risk, we caution against from lower extremity. Level Evidence: Therapeutic III. See Instructions Authors complete description levels evidence.