Saturday, January 5, 2013

Which has more risk, a total knee, a total hip or a total shoulder?

Shoulder arthroplasties have fewer complications than hip or knee arthroplasties in US veterans.

This study compared the first 30-day complications for patients undergoing TSAs, THAs, or TKAs using data from the Veterans Administration National Surgical Quality Improvement Program for the years 1999 to 2006. 

Sociodemographic features were comparable among groups. The mean operative time was greater for TSAs (3.0 hours) than for TKAs (2.2 hours) and THAs (2.4 hours). The 30-day mortality rates were 1.2%, 1.1%, and 0.4% for THAs, TKAs, and TSAs, respectively. The corresponding postoperative complication rates were 7.6%, 6.8%, and 2.8%. Adjusting for multiple risk factors, complications, readmissions, and postoperative stays were less for TSAs versus THAs and TKAs.


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