Knee replacement surgery related factors Fever.docVIP

 PAGE \* MERGEFORMAT 18 Knee replacement surgery related factors Fever Author: Song Yan-cheng, CAI Dao-zhang, Wang Kun, Shen Bin, Yang Jing, Fu-Xing Pei Abstract [Objective] fever caused by knee replacement surgery related factors, to explore factors such as postoperative fever and infection in the correlation. [Methods] Retrospective analysis of August 1998 ~ April 2006 between the hospital and the West China Hospital, has been in orthopedics documented 200 cases of knee arthroplasty in patients with thermometer and medical history. List of records for each patient before surgery, the average maximum temperature and 7 d post-operative day, the highest temperature recorded at the same time before and after the first 2 d of the hemoglobin values, and whether the blood transfusion, the use of catheters, anesthesia methods and underlying diseases such as . Using SPSS 12.0 statistical analysis software package. [Results] knee replacement surgery before and after 7 d of the patient’s temperature, there was significant statistical difference (P lt;0.01), 78 cases (39.0%) patients with body temperature ≥ 38 ℃. 16 patients developed infections, superficial infection in 15 cases, after dressing and antibiotic therapy cured, 1 case of deep infection in line out prostheses and eventually joint fusion, but only three cases of patients with elevated body temperature. Postoperative fever and infection, blood transfusion, hemoglobin decreased, whether the use of catheters, anesthesia and surgery between the pre-heating no significant correlation (Pgt; 0.05). [Conclusion] knee replacement surgery within 1 week fever is a normal physiological response to infection and other factors and no significant correlation. 【Key Words】 replacement; fever; infection; related factors Abstract: [Objective] To determine the incidence and factors associated with pyrexia after total knee replacement (TKR). [Method] A retrospective review of 200 patients in departmen