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Increased Complication Rates After Hip and Knee Arthroplasty in Patients With Cirrhosis of the Liver

机译:肝硬化患者髋关节和膝关节置换术后并发症的发生率增加

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摘要

BackgroundRisk stratification is critical in patients with cirrhosis undergoing THAs and TKAs, as they may be more likely to have serious medical and surgical complications. As opposed to the Child-Pugh scoring system, which has limited use for orthopaedic surgeons inexperienced in assessing ascites and hepatic encephalopathy, the Model for End-stage Liver Disease (MELD) is an easily calculated, validated scoring system for severity of liver disease based on common laboratory values; however, its usefulness for predicting complications after elective arthroplasty has not been studied.
机译:背景危险分层对于接受THA和TKA的肝硬化患者至关重要,因为它们更可能具有严重的医疗和手术并发症。与Child-Pugh评分系统相比,后者在评估腹水和肝性脑病方面经验不足的骨科医生中使用有限,而最终肝病模型(MELD)是一种易于计算且经过验证的基于肝病严重性的评分系统共同的实验室价值;然而,其在预测选择性关节置换术后并发症方面的有用性尚未得到研究。

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