[Total knee replacement in diabetic patients].
From December 1987 to March 1995, 16 TKRs were performed for 9 diabetic patients at our department. 7 of them had rheumatoid arthritis (RA), and 2 osteoarthritis (OA). There were 1 male and 8 females. The average age was 55.9 years (range 49-69 years), and the average weight was 64.5 kg (range 54-78 kg). According to the hospital for special surgery (HSS) knee rating scale, the pre and postoperative evaluations were made. The HSS scores were improved after the operation from average 30.2 points preoperatively to 78.2 points postoperatively. The excellent and good rate was 94%. After 3.9 years follow-up (range 10 months to 8 years), the HSS score was 74.4 points, and the rate of excellent and good was 87.5%. Compared to the other 209 RA or OA patients with 287 TKR at the same period, the HSS score was almost the same, but the infection rate was higher (3.5%). We conclude that the TKR of diabetic patients could also get the similar results as common patients if the patients are under the good control of glycemia and medical treatment.
Lu
H
H
Arthritis Clinical and Research Center, People's Hospital of Beijing Medicao University.
Zhou
D
D
Yuan
Y
Y
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications / Q000601:surgery